Individual provider · Type 1 NPI

Griffin Jon Privitera, DMD

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1184570947 Active

Practice location

110 Bergen St
Newark, NJ 07103-2495

Call (973) 972-4242 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X22DI03153700 (NJ)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184570947

Griffin Jon Privitera, DMD's National Provider Identifier is 1184570947, issued on Mar 5, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on Jun 1, 2026.