Provider Demographics
NPI:1770598401
Name:DENTE, CHRISTOPHER MICHAEL (OD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MICHAEL
Last Name:DENTE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 MINE BROOK RD
Mailing Address - Street 2:
Mailing Address - City:BERNARDSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07924
Mailing Address - Country:US
Mailing Address - Phone:908-221-1132
Mailing Address - Fax:908-221-0712
Practice Address - Street 1:169 MINE BROOK RD
Practice Address - Street 2:
Practice Address - City:BERNARDSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07924
Practice Address - Country:US
Practice Address - Phone:908-221-1132
Practice Address - Fax:908-221-0712
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ270A00555600152W00000X
NJ27OA00555601152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
202716490OtherMULTIPLAN
2K8272OtherHEALTHNET
202716490OtherQUALCARE
202716490OtherBEECH STREET
202716490OtherCCN
202716490OtherBCBS
202716490OtherPHCS
P2073810OtherOXFORD
202716490OtherUNITED HEALTHCARE
202716490OtherCHN
202716490OtherAETNA
202716490OtherMASTERCARE