Provider Demographics
NPI:1821213182
Name:ROTONDI, JOHN T (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:T
Last Name:ROTONDI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CANAL POINTE BLVD
Mailing Address - Street 2:SUITE 116
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-7063
Mailing Address - Country:US
Mailing Address - Phone:609-452-1680
Mailing Address - Fax:609-452-1688
Practice Address - Street 1:100 CANAL POINTE BLVD
Practice Address - Street 2:SUITE 116
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-7063
Practice Address - Country:US
Practice Address - Phone:609-452-1680
Practice Address - Fax:609-452-1688
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0147321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice