Individual provider · NPI-1

Dr. Barbara Knowles-Fenning, D.D.S.

Dentist, Periodontics · Waldwick, NJ

NPI number1225119902
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1225119902
Entity type
Individual (NPI-1)
Name
Dr. Barbara Knowles-Fenning
Credential
D.D.S.
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 18, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, PeriodonticsDI14585NJYes

Practice location

61 Crescent Ave
Suite D
Waldwick, NJ 07463-1431

Phone 201-445-0340

Mailing address

61 Crescent Ave
Waldwick, NJ 07463-1431

Phone 201-445-0340

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