Provider Demographics
NPI:1629199377
Name:DR. STEVEN E. SITRIN DMD
Entity Type:Organization
Organization Name:DR. STEVEN E. SITRIN DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SITRIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, PA,
Authorized Official - Phone:732-826-1095
Mailing Address - Street 1:125 MAY ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-3264
Mailing Address - Country:US
Mailing Address - Phone:732-826-1095
Mailing Address - Fax:732-738-6560
Practice Address - Street 1:125 MAY ST
Practice Address - Street 2:SUITE 200
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3264
Practice Address - Country:US
Practice Address - Phone:732-826-1095
Practice Address - Fax:732-738-6560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ157621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty