Individual provider · Type 1 NPI

Justin Charles Ponquinette, DMD

Oral and Maxillofacial Surgery (Dentist) · Clifton, NJ

NPI number 1679747190 Active

Practice location

970 Clifton Ave, Second Floor
Clifton, NJ 07013-2731

Mailing address

126 Deepwater Cir
Manalapan, NJ 07726-4148

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X22DI02369900 (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 1679747190

Justin Charles Ponquinette, DMD's National Provider Identifier is 1679747190, issued on Apr 15, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Clifton, NJ. The record was last updated on Apr 15, 2008.