Provider Demographics
NPI:1700108727
Name:CRINCOLI, ANGELA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:CRINCOLI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 VAIL TER
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1839
Mailing Address - Country:US
Mailing Address - Phone:908-696-1703
Mailing Address - Fax:
Practice Address - Street 1:9 VAIL TER
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1839
Practice Address - Country:US
Practice Address - Phone:908-696-1703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01863400122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist