Provider Demographics
NPI:1023451796
Name:LOUIS B CONTE DMD PC
Entity type:Organization
Organization Name:LOUIS B CONTE DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:BENEDICT
Authorized Official - Last Name:CONTE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-758-0414
Mailing Address - Street 1:223 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1727
Mailing Address - Country:US
Mailing Address - Phone:732-758-0414
Mailing Address - Fax:732-758-0519
Practice Address - Street 1:223 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1727
Practice Address - Country:US
Practice Address - Phone:732-758-0414
Practice Address - Fax:732-758-0519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-12
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI016114001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty