Provider Demographics
NPI:1457480824
Name:SUSAN M PINCOFSKI DMD PC
Entity Type:Organization
Organization Name:SUSAN M PINCOFSKI DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PINCOFSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:908-806-2108
Mailing Address - Street 1:59 READING RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-2090
Mailing Address - Country:US
Mailing Address - Phone:908-806-2108
Mailing Address - Fax:
Practice Address - Street 1:59 READING RD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-2090
Practice Address - Country:US
Practice Address - Phone:908-806-2108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI017408001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty