Provider Demographics
NPI:1083630222
Name:ADELSTEIN, CINDY (DMD, MAGD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:
Last Name:ADELSTEIN
Suffix:
Gender:F
Credentials:DMD, MAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 MAIN ST STE C1
Mailing Address - Street 2:
Mailing Address - City:BUZZARDS BAY
Mailing Address - State:MA
Mailing Address - Zip Code:02532-3253
Mailing Address - Country:US
Mailing Address - Phone:508-759-2721
Mailing Address - Fax:
Practice Address - Street 1:20 COMMERCE BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:SUCCASUNNA
Practice Address - State:NJ
Practice Address - Zip Code:07876-1348
Practice Address - Country:US
Practice Address - Phone:973-584-1066
Practice Address - Fax:973-584-6790
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1857139122300000X
NJ173871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJNJ17387OtherSTATE LICENSE
MA1857139OtherSTATE LICENSE