National Provider Identifier Database

CARL A BIFANO, DMD – NPI #1124076500
Oral & Maxillofacial Surgery


Contact Information

CARL A BIFANO, DMD
2 PLAZA DR STE 202
SEWELL, NJ08080
Phone: 856-270-4100
Fax:
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X
Oral and Maxillofacial Pathology 1223P0106X
Oral and Maxillofacial Surgery 1223S0112X

* Indicates primary specialty

NPI Profile & details for CARL A BIFANO

NPI Number 1124076500
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 05/05/2006
Last updated 04/01/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • MD License #: 6833
  • NJ License #: 22D102457901
  • NJ License #: DI02457900
  • PA License #: DS019214L
  • PA Medicaid: 1025303770001
  • NJ Other: DI02457900 STATE LICENSE
  • PA Other: DS019214L LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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