Provider Demographics
NPI:1558442160
Name:SEN, SADETTIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SADETTIN
Middle Name:
Last Name:SEN
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 1:32-16 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-4600
Mailing Address - Country:US
Mailing Address - Phone:201-797-8600
Mailing Address - Fax:201-797-5552
Practice Address - Street 1:32-16 BROADWAY
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-4600
Practice Address - Country:US
Practice Address - Phone:201-797-8600
Practice Address - Fax:201-797-5552
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 017839122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist