Provider Demographics
NPI:1255464053
Name:ADLER, JOSEPH D (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:D
Last Name:ADLER
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 1:155 WEST 68TH STREET
Mailing Address - Street 2:SUITE 228
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5824
Mailing Address - Country:US
Mailing Address - Phone:212-724-6280
Mailing Address - Fax:212-873-7909
Practice Address - Street 1:155 WEST 68TH STREET
Practice Address - Street 2:SUITE 228
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5824
Practice Address - Country:US
Practice Address - Phone:212-724-6280
Practice Address - Fax:212-873-7909
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY294671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice