Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Daniel E Distasi, DDS

Individual provider Periodontics · NPI 1104910942

Dr. Daniel E Distasi, DDS is a Periodontics in Westwood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

700 Broadway Ste 64
Westwood, NJ 07675-1674
Phone: (201) 666-1300
Fax: (201) 666-2055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 22DI01442602 (NJ)

Record details

NPI number1104910942
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007
Mailing address200 W 57th St Ste 410, New York, NY 10019-3211

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