Provider Demographics
NPI:1851575369
Name:TRIMARCO, JOHN V JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:V
Last Name:TRIMARCO
Suffix:JR
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 1:533 INMAN AVENUE
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-1114
Mailing Address - Country:US
Mailing Address - Phone:732-388-4789
Mailing Address - Fax:
Practice Address - Street 1:533 INMAN AVE
Practice Address - Street 2:
Practice Address - City:COLONIA
Practice Address - State:NJ
Practice Address - Zip Code:07067-1114
Practice Address - Country:US
Practice Address - Phone:732-388-4789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI012797001223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics