Provider Demographics
NPI:1861011074
Name:TRABUCHI & TRABUCHI D.D.S., P.A.
Entity Type:Organization
Organization Name:TRABUCHI & TRABUCHI D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:TRABUCHI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:856-691-2656
Mailing Address - Street 1:717 E ELMER ST
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-4758
Mailing Address - Country:US
Mailing Address - Phone:856-691-2656
Mailing Address - Fax:856-500-6356
Practice Address - Street 1:717 E ELMER ST
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-4758
Practice Address - Country:US
Practice Address - Phone:856-691-2656
Practice Address - Fax:856-500-6356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-09
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty