Provider Demographics
NPI:1922849967
Name:NUNEZ CALCAGNO, EMELY D (DMD)
Entity type:Individual
Prefix:
First Name:EMELY
Middle Name:D
Last Name:NUNEZ CALCAGNO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 ARLINGTON AVE APT 302
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-4793
Mailing Address - Country:US
Mailing Address - Phone:305-815-8267
Mailing Address - Fax:
Practice Address - Street 1:263 CROOKS AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-1614
Practice Address - Country:US
Practice Address - Phone:973-685-9234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI03039200122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist