Provider Demographics
NPI:1457898264
Name:CASILE, CHRISTINE (BA,RDH)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:CASILE
Suffix:
Gender:F
Credentials:BA,RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 EAST STREET
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940
Mailing Address - Country:US
Mailing Address - Phone:973-309-3883
Mailing Address - Fax:
Practice Address - Street 1:7 EAST ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-1501
Practice Address - Country:US
Practice Address - Phone:973-309-3883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22HI00880600124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist