Provider Demographics
NPI:1891337309
Name:JOSEPH FAMILY DENTAL, PC
Entity Type:Organization
Organization Name:JOSEPH FAMILY DENTAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HASSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-658-2055
Mailing Address - Street 1:254 W PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1080
Mailing Address - Country:US
Mailing Address - Phone:724-856-3538
Mailing Address - Fax:
Practice Address - Street 1:1 FAIRHILL DR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1174
Practice Address - Country:US
Practice Address - Phone:724-658-2055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty