CARL A. BIFANO DMD – NPI #1124076500
Oral & Maxillofacial Surgery

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.

CARL BIFANO is an oral & maxillofacial surgeon located in SEWELL, NJ. NPPES has assigned the NPI number 1124076500 to CARL BIFANO on May 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 7 years ago on Apr 01, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARL BIFANO below.

NPI Profile for
CARL A. BIFANO

NPI Number
1124076500
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CARL A. BIFANO
Credentials
DMD
Primary location
2 PLAZA DR STE 202
SEWELL, NJ 08080
Phone: (856) 270-4100 Fax:
1 Other location(s):
101 E Lehigh Ave
PM2
Philadelphia, PA 19125-1011
Phone: (215) 707-3613
Fax: (215) 707-5405
Mailing address
1 FEDERAL ST STE SW200
CAMDEN, NJ 08103-1155
Phone: (856) 356-4924 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for CARL BIFANO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLICENSEPADS019214L
OTHERSTATE LICENSENJDI02457900
MEDICAIDPA1025303770001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)
NJ 22D102457901
1223S0112X
- Dentist / Oral and Maxillofacial Surgery
PA DS019214L
1223P0106X
- Dentist / Oral and Maxillofacial Pathology
MD 6833

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.