DR. John R Kukucka, D.M.D. is a periodontics dentist in Manasquan, NJ. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. John R Kukucka, D.M.D. NPI is 1619030822. 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:
2605 HIGHWAY 35
MANASQUAN, NJ
ZIP 08736-603
Phone: (732) 223-6000
Fax: (732) 223-6129
The NPI 1619030822 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 12/18/2006 and was last updated on 7/8/2007.