Dr. Philip John Pistolas
Dentist Pediatric Dentist
41 Main St
Sparta
, New Jersey 07871-1903
Dr. Philip John Pistolas
Dentist Pediatric Dentist
41 Main St
Sparta
, New Jersey 07871-1903
(973) 729-7785
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About
Features
Specialties
- Dentist
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Philip John Pistolas
- 41 Main St
- Sparta, NJ
- Zip : 07871-1903
- Phone : (973) 729-7785
Second Address
- Dr. Philip John Pistolas
- 41 Main St
- Sparta, NJ
- Zip : 07871-1903
- Phone : (973) 729-7785
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 12474 | NJ |
| N | 1223P0221X | Pediatric Dentist | 3047 | NJ |
National Provider Identifier
| NPI | 1093807976 |
|---|---|
| Provider Name | Dr. Philip John Pistolas |
| First Address | Sparta, NJ 07871-1903 |
| Second Address | Sparta, NJ 07871-1903 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.