Provider Demographics
NPI:1043378169
Name:SINADA, GHASSAN G (DDS)
Entity Type:Individual
Prefix:
First Name:GHASSAN
Middle Name:G
Last Name:SINADA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6569 N CHARLES ST
Mailing Address - Street 2:PPW SUITE 601
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-6831
Mailing Address - Country:US
Mailing Address - Phone:443-519-5293
Mailing Address - Fax:443-519-5623
Practice Address - Street 1:6569 N CHARLES ST
Practice Address - Street 2:PPW SUITE 601
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-6831
Practice Address - Country:US
Practice Address - Phone:443-519-5293
Practice Address - Fax:443-519-5623
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD128521223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery