Provider Demographics
NPI:1598961278
Name:PINZON, SANDRA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:
Last Name:PINZON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3538 ROUTE 9 S
Mailing Address - Street 2:SUITE 307
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3345
Mailing Address - Country:US
Mailing Address - Phone:732-534-7971
Mailing Address - Fax:732-534-7973
Practice Address - Street 1:3538 ROUTE 9 S
Practice Address - Street 2:SUITE 307
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3345
Practice Address - Country:US
Practice Address - Phone:732-534-7971
Practice Address - Fax:732-534-7973
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI020858001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice