Most Relevant Information
Provider Data
| NPI Number: | 1003449216 |
| Provider Name: | VINCENT MICHAEL DEBITETTO |
| Entity Type: | Individual |
| Taxonomy Code: | 1223S0112X |
| Specialty: | Dentist |
| License Number: | 13923 |
Most Important Dates
| Enumeration Date: | 02/16/2020 |
| Last Updated: | 07/10/2024 |
Provider Practice Location
18-00 FAIR LAWN AVE
FAIR LAWN
NJ
074102330
Practice Location Phone/Fax
| Phone: | 5512863040 |
| Fax: |
Provider Mailing Location
25 SOUNDVIEW DR
EASTCHESTER
NY
107091526
Provider Mailing Phone/Fax
| Phone: | 9144730600 |
| Fax: |