IndividualActive
Andrew Genualdi, DMD
NPI 1760508469 · General Practice Dentistry · Summit, NJ
Provider details
- NPI number
- 1760508469
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9924 (NJ)
Specialties & taxonomies
Dental Providers
Practice location
575 Springfield Ave
Summit, NJ 07901-4503
Phone: (908) 273-5242
Approximate (ZIP-level) locationGet directions
Mailing address
575 Springfield Ave
Summit, NJ 07901-4503
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.