Individual provider · NPI-1

Dr. Dominick Joachin Ambroise, D.D.S., M.A.

Dentist · Bridgewater, NJ

NPI number1083094213
StatusActive
Last updated in NPPESOct 15, 2016

Details

NPI
1083094213
Entity type
Individual (NPI-1)
Name
Dr. Dominick Joachin Ambroise
Credential
D.D.S., M.A.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 3, 2015
Last updated
Oct 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist22DI02623300NJYes

Practice location

475 N Bridge St
Bridgewater, NJ 08807-2153

Phone 908-947-0320

Mailing address

1512 3rd Ave
Asbury Park, NJ 07712-5720

Phone 347-405-3323

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in Bridgewater, NJ