Provider Demographics
NPI:1821267857
Name:CROSTA, ARTHUR JOSEPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:JOSEPH
Last Name:CROSTA
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 1:7 EBERSBACH LN
Mailing Address - Street 2:
Mailing Address - City:ROSELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07068-3718
Mailing Address - Country:US
Mailing Address - Phone:973-228-4218
Mailing Address - Fax:
Practice Address - Street 1:7 EBERSBACH LN
Practice Address - Street 2:
Practice Address - City:ROSELAND
Practice Address - State:NJ
Practice Address - Zip Code:07068-3718
Practice Address - Country:US
Practice Address - Phone:973-228-4218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-24
Last Update Date:2008-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D100841700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist