Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN R KUKUCKA JR., D.M.D.
Active Sole ProprietorDR. JOHN R KUKUCKA JR., D.M.D. is a Periodontology healthcare provider located in MANASQUAN, New Jersey. NPI 1619030822 is currently active in the NPPES registry. Verify at CMS.
Periodontology · MANASQUAN, NJ
Registration Details
- NPI Number
- 1619030822
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2006 (19.613792066339 yrs)
- Last Updated
- Jul 8, 2007
- License
-
22DI01350700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2605 HIGHWAY 35MANASQUAN, NJ, 087362603Browse NJ providers · Browse ZIP 08736
- Phone
- 7322236000
- Fax
- 7322236129
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in MANASQUAN, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN JOSEPH MIKOTOWICZ | D.D.S., M.S. | 1750442000 |
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.