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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477175388

Dr. John Thomas Genco, DMD is a Student in an Organized Health Care Education/Training Program in Mount Holly, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2020
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

362 Ridgeway St
Mount Holly, NJ 08060-1447
Phone: (609) 267-3230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 2nd Ave, Long Branch, NJ 07740-6303 — (732) 557-1323

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22D102834000 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NJ)

Record details

NPI number1477175388
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 13, 2020
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021
Mailing address55 Chelsea Ave Apt 308, Long Branch, NJ 07740-8165

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