DR. CARL ANGELO BIFANO DMD NPI 1124076500

NPI Information

  • NPI: 1124076500
  • Provider Name: DR. CARL ANGELO BIFANO, DMD
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Individual
  • Address: 2 PLAZA DR STE 202
    SEWELL, NJ
    ZIP 08080
  • Phone: (856) 270-4100

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NPI Details

DR. Carl Angelo Bifano, DMD is an oral maxillofacial surgery in Sewell, NJ. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Carl Angelo Bifano, DMD NPI is 1124076500. 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:

2 PLAZA DR STE 202
SEWELL, NJ
ZIP 08080
Phone: (856) 270-4100

The enumeration date for this NPI number is 5/5/2006 and was last updated on 4/1/2019.

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
11223P0106XDentistOral and Maxillofacial PathologyDI02457900NEW JERSEYNo
21223P0106XDentistOral and Maxillofacial Pathology6833MARYLANDNo
31223S0112XDentistOral and Maxillofacial SurgeryDS019214LPENNSYLVANIANo
4204E00000XOral & Maxillofacial Surgery22D102457901NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DS019214LOTHERPENNSYLVANIALICENSE
2DI02457900OTHERNEW JERSEYSTATE LICENSE
31025303770001MEDICAIDPENNSYLVANIA

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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