Individual provider · Type 1 NPI

Kristina Mackenzie Ceravolo

Dentist · Irvington, NJ

NPI number 1154062883 Active

Practice location

2 Washington Ave
Irvington, NJ 07111-3550

Call (973) 926-5306 Map

Mailing address

722-724 Adams St Apt 9
Hoboken, NJ 07030-2878

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X063885 (NY)
Dentist Primary 122300000X22DI02954300 (NJ)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1154062883

Kristina Mackenzie Ceravolo's National Provider Identifier is 1154062883, issued on Apr 5, 2022. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Irvington, NJ. The record was last updated on May 11, 2026.