Provider Demographics
NPI:1447442157
Name:NUGIEL, MARTIN (DMD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:
Last Name:NUGIEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 OXFORD CT
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1626
Mailing Address - Country:US
Mailing Address - Phone:908-692-8176
Mailing Address - Fax:732-269-4903
Practice Address - Street 1:211 ROUTE 9
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08721-1216
Practice Address - Country:US
Practice Address - Phone:732-269-8555
Practice Address - Fax:732-269-4903
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01090300122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist