Provider Demographics
NPI:1720232028
Name:SZEMBORSKI, JOANNE DOLORITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:DOLORITA
Last Name:SZEMBORSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:JOANNE
Other - Middle Name:DOLORITA
Other - Last Name:HENNING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5726 BERKSHIRE VALLEY RD.
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07438
Mailing Address - Country:US
Mailing Address - Phone:973-208-0777
Mailing Address - Fax:
Practice Address - Street 1:5726 BERKSHIRE VALLEY RD.
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07438
Practice Address - Country:US
Practice Address - Phone:973-208-0777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 14334 NJ1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice