Provider Demographics
NPI:1770509192
Name:NEPO, NORMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:NEPO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 LENAPE TRL
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-3805
Mailing Address - Country:US
Mailing Address - Phone:908-232-2298
Mailing Address - Fax:908-789-8662
Practice Address - Street 1:135 GREEN ST
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-2961
Practice Address - Country:US
Practice Address - Phone:732-636-3434
Practice Address - Fax:732-636-7487
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI007698001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice