Provider Demographics
NPI:1801825260
Name:MORRONE, MARY BETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARY BETH
Middle Name:
Last Name:MORRONE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 LEEDS RD
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-1887
Mailing Address - Country:US
Mailing Address - Phone:856-222-9303
Mailing Address - Fax:
Practice Address - Street 1:99 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-2429
Practice Address - Country:US
Practice Address - Phone:856-234-4044
Practice Address - Fax:856-234-1157
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ166331223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics