Provider Demographics
NPI:1750436812
Name:NEPA, DAVID J (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:NEPA
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 1:501 N HADDON AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-1753
Mailing Address - Country:US
Mailing Address - Phone:856-428-3050
Mailing Address - Fax:856-428-3060
Practice Address - Street 1:501 N HADDON AVE STE 7
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-1753
Practice Address - Country:US
Practice Address - Phone:856-428-3050
Practice Address - Fax:856-428-3060
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS027801L122300000X
NJ22DI018858001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist