Provider Demographics
NPI:1275723439
Name:SINATRA, JOSEPH PETER
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:PETER
Last Name:SINATRA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JOE
Other - Middle Name:
Other - Last Name:SINATRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:502 FOOTE AVE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-8205
Mailing Address - Country:US
Mailing Address - Phone:716-487-1050
Mailing Address - Fax:
Practice Address - Street 1:502 FOOTE AVE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-8205
Practice Address - Country:US
Practice Address - Phone:716-487-1050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042232122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist