Provider Demographics
NPI:1710184916
Name:CASALAINA, JOSEPH F (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:F
Last Name:CASALAINA
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 1:196 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-2001
Mailing Address - Country:US
Mailing Address - Phone:732-842-3303
Mailing Address - Fax:732-842-3928
Practice Address - Street 1:196 BROAD ST
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-2001
Practice Address - Country:US
Practice Address - Phone:732-842-3303
Practice Address - Fax:732-842-3928
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 182721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice