Provider Demographics
NPI:1023142452
Name:SINISI, JOSEPH S (DMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:S
Last Name:SINISI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 GALLOPING HILL RD
Mailing Address - Street 2:
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-1700
Mailing Address - Country:US
Mailing Address - Phone:908-241-1880
Mailing Address - Fax:908-241-1880
Practice Address - Street 1:744 GALLOPING HILL RD
Practice Address - Street 2:
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-1700
Practice Address - Country:US
Practice Address - Phone:908-241-1880
Practice Address - Fax:908-241-1880
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI012157001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice