Provider Demographics
NPI:1013981281
Name:FENIMORE, DARIO A (DMD)
Entity type:Individual
Prefix:DR
First Name:DARIO
Middle Name:A
Last Name:FENIMORE
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 1:14 TOWER HILL RD
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-2020
Mailing Address - Country:US
Mailing Address - Phone:973-539-7048
Mailing Address - Fax:973-538-9336
Practice Address - Street 1:442 SPEEDWELL AVE
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-2133
Practice Address - Country:US
Practice Address - Phone:873-538-2238
Practice Address - Fax:973-538-9336
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI010936001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice