Dr. John Joseph Mikotowicz, D.D.S., M.S.
Dentist, Periodontics in Manasquan, NJ. Individual provider (NPI-1).
NPI number1750442000
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1750442000
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Joseph Mikotowicz
- Credential
- D.D.S., M.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 22DI02275601 | NJ | Yes |
Practice location
2605 State Highway 35Manasquan, NJ 08736
Phone 732-223-6000 · Fax 732-223-6129
Mailing address
52 Woodthrush Trl WMedford, NJ 08055-9128
Phone 609-953-3768
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 Periodontics providers in Manasquan, NJ
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.