Individual provider · Type 1 NPI
John Joseph Mikotowicz, DDS, M.S.
Periodontics · Manasquan, NJ
NPI number
1750442000
Active
Practice location
2605 State Highway 35
Manasquan, NJ 08736
Fax (732) 223-6129
Mailing address
52 Woodthrush Trl W
Medford, NJ 08055-9128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 22DI02275601 (NJ) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1750442000
John Joseph Mikotowicz, DDS, M.S.'s National Provider Identifier is 1750442000, issued on Dec 12, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Manasquan, NJ. The record was last updated on Jul 8, 2007.