DR. MARC BUTTACAVOLI DMD NPI 1104048305

NPI Information

  • NPI: 1104048305
  • Provider Name: DR. MARC BUTTACAVOLI, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 35 BEAVERSON BLVD
    BUILDING 8 SUITE B
    BRICK, NJ
    ZIP 08723
  • Phone: (732) 477-9595

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NPI Details

DR. Marc Buttacavoli, DMD is a general practice dentist in Brick, 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. DR. Marc Buttacavoli, DMD NPI is 1104048305. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

35 BEAVERSON BLVD
BUILDING 8 SUITE B
BRICK, NJ
ZIP 08723-812
Phone: (732) 477-9595
Fax: (732) 477-9514

The NPI 1104048305 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/3/2007 and was last updated on 7/8/2007.

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 Practice22DI02318900NEW 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: 11/21/2025

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