Provider Demographics
NPI:1144353202
Name:PASCALE, DOROTHY A (DMD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:A
Last Name:PASCALE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 POMPTON AVENUE
Mailing Address - Street 2:SUITE 14
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009
Mailing Address - Country:US
Mailing Address - Phone:973-857-8600
Mailing Address - Fax:973-857-9696
Practice Address - Street 1:6 POMPTON AVE
Practice Address - Street 2:SUITE 14
Practice Address - City:CEDAR GROVE
Practice Address - State:NJ
Practice Address - Zip Code:07009-2042
Practice Address - Country:US
Practice Address - Phone:973-857-8600
Practice Address - Fax:973-857-9696
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI1014996001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics