DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SEBU IDICULLA, DMD

Active

General Dentistry · NORTH HALEDON, NJ

Registration Details

NPI Number
1245306406
Provider Type
Individual
Gender
Male
NPI Issued
Nov 28, 2006 (19.436469046296 yrs)
Last Updated
Apr 19, 2011
License
22DI02241500 (NJ)

Practice Information

Address
5 SICOMAC RD
SUITE 12
NORTH HALEDON, NJ, 075082972
Browse NJ providers · Browse ZIP 07508
Phone
9734233399
Fax
9734234828
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in NORTH HALEDON, NJ

Name Credential NPI
DR. KEN DAVIS DMD 1396837456
DR. PETER PERERA D.M.D., PA. 1417049255
DR. GREGORY JOHN VANVLIET DENTIST 1376635128
DR. JUNG EUN HUH D.M.D. 1194845149
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.