Provider Demographics
NPI:1932176716
Name:CONNIFF, MAURA E (DMD)
Entity Type:Individual
Prefix:DR
First Name:MAURA
Middle Name:E
Last Name:CONNIFF
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 1:534 WASHINGTON BLVD
Mailing Address - Street 2:APT. #14
Mailing Address - City:SEA GIRT
Mailing Address - State:NJ
Mailing Address - Zip Code:08750-2905
Mailing Address - Country:US
Mailing Address - Phone:732-974-8181
Mailing Address - Fax:
Practice Address - Street 1:1109 3RD AVE
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07762-1328
Practice Address - Country:US
Practice Address - Phone:732-974-2288
Practice Address - Fax:732-974-8070
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI020870001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice