Provider Demographics
NPI:1073593729
Name:SOSNA, HOWARD J (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:J
Last Name:SOSNA
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 1:647 W MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-3207
Mailing Address - Country:US
Mailing Address - Phone:973-827-2706
Mailing Address - Fax:973-827-5121
Practice Address - Street 1:183 HIGH ST
Practice Address - Street 2:SUITE 1300
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-9601
Practice Address - Country:US
Practice Address - Phone:973-300-5700
Practice Address - Fax:973-300-5744
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI12501051223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1011308Medicaid