Provider Demographics
NPI:1639181290
Name:SINATRA, LOUIS SALVATORE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:SALVATORE
Last Name:SINATRA
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 1:446 ROUTE 304
Mailing Address - Street 2:BARD PROF BLDG
Mailing Address - City:BARDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:10954-1617
Mailing Address - Country:US
Mailing Address - Phone:845-623-4777
Mailing Address - Fax:845-623-4820
Practice Address - Street 1:446 ROUTE 304
Practice Address - Street 2:BARD PROF BLDG
Practice Address - City:BARDONIA
Practice Address - State:NY
Practice Address - Zip Code:10954-1617
Practice Address - Country:US
Practice Address - Phone:845-623-4777
Practice Address - Fax:845-623-4820
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice