Individual
DR. JONATHAN SIPZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
625 MAIN AVE, 3RD FLOOR, PASSAIC, NJ 07055-4952
(973) 574-1000
(973) 574-1001
Mailing address
87 W PASSAIC ST, ROCHELLE PARK, NJ 07662-3213
(201) 880-7480
(201) 880-7487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02521400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391531
—
NJ
Enumeration date
12/18/2012
Last updated
06/20/2016
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