Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DANIEL E DISTASI, D.D.S.
ActiveDR. DANIEL E DISTASI, D.D.S. is a Periodontology healthcare provider located in WESTWOOD, New Jersey. NPI 1104910942 is currently active in the NPPES registry. Verify at CMS.
Periodontology · WESTWOOD, NJ
Registration Details
- NPI Number
- 1104910942
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.900147089058 yrs)
- Last Updated
- Jul 8, 2007
- License
-
22DI01442602 (NJ)
Practice Information
- Address
-
700 BROADWAY STE 64WESTWOOD, NJ, 076751674Browse NJ providers · Browse ZIP 07675
- Phone
- 2016661300
- Fax
- 2016662055
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in WESTWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS R SHANNON | DDS | 1780698845 |
| DR. PRIYU GUPTA | D.D.S | 1518168343 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.