Individual provider · Type 1 NPI
Philip John Pistolas, DDS
Pediatric Dentistry · Sparta, NJ
NPI number
1093807976
Active
Practice location
41 Main St
Sparta, NJ 07871-1903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 12474 (NJ) |
| Pediatric Dentistry Primary | 1223P0221X | 3047 (NJ) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1093807976
Philip John Pistolas, DDS's National Provider Identifier is 1093807976, issued on Sep 29, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Sparta, NJ. The record was last updated on Sep 11, 2025.