Provider Demographics
NPI:1578761961
Name:PRENSKY, JOSHUA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:M
Last Name:PRENSKY
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 1:28-10 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-3589
Mailing Address - Country:US
Mailing Address - Phone:212-729-6975
Mailing Address - Fax:201-796-8308
Practice Address - Street 1:28-10 HIGH ST
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-3589
Practice Address - Country:US
Practice Address - Phone:212-729-6975
Practice Address - Fax:201-796-8308
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053301-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice