GERARD L. GONSALVES DMD PA NPI 1043272040

NPI Information

  • NPI: 1043272040
  • Provider Name: GERARD L. GONSALVES, DMD, PA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 2168 MILLBURN AVE
    SUITE 102
    MAPLEWOOD, NJ
    ZIP 07040
  • Phone: (973) 763-1300

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NPI Details

GERARD L. GONSALVES, DMD, PA is a general practice dentist in Maplewood, NJ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GERARD L. GONSALVES, DMD, PA NPI is 1043272040. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2168 MILLBURN AVE
SUITE 102
MAPLEWOOD, NJ
ZIP 07040-640
Phone: (973) 763-1300
Fax: (973) 763-0800

The provider's authorized official is Gerard L. Gonsalves .
The authorized official title is Owner and has the following contact phone number (973) 763-1300.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDI01640700NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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