Provider Demographics
NPI:1043416936
Name:SAMMARTINO, KATARZYNA (DMD)
Entity Type:Individual
Prefix:DR
First Name:KATARZYNA
Middle Name:
Last Name:SAMMARTINO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07031-5928
Mailing Address - Country:US
Mailing Address - Phone:201-575-6593
Mailing Address - Fax:
Practice Address - Street 1:385 TREMONT AVE DEPT 160
Practice Address - Street 2:DEPT. OF VETERAN AFFAIRS NJ HEALTH CARE SYSTEM
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1023
Practice Address - Country:US
Practice Address - Phone:201-676-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023488001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice