Individual provider · Type 1 NPI

Vincent Michael Debitetto

Oral and Maxillofacial Surgery (Dentist) · Fair Lawn, NJ

NPI number 1003449216 Active

Practice location

18-00 Fair Lawn Ave
Fair Lawn, NJ 07410-2330

Mailing address

25 Soundview Dr
Eastchester, NY 10709-1526

Other practice locations

  • 2261 Broadbridge Ave, Stratford, CT 06614-3860 · (203) 375-4633
  • 7015 164th St, Flushing, NY 11365-4218 · (718) 263-7400

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X13923 (CT)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X22DI03028500 (NJ)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1003449216

Vincent Michael Debitetto's National Provider Identifier is 1003449216, issued on Feb 16, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fair Lawn, NJ. The record was last updated on Jul 10, 2024.