Provider Demographics
NPI:1962644419
Name:SYLVESTER, NAIM FAHKREE (DMD)
Entity Type:Individual
Prefix:DR
First Name:NAIM
Middle Name:FAHKREE
Last Name:SYLVESTER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 ROUTE 46
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-1841
Mailing Address - Country:US
Mailing Address - Phone:973-890-0600
Mailing Address - Fax:
Practice Address - Street 1:360 ROUTE 46
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-1841
Practice Address - Country:US
Practice Address - Phone:973-890-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-30
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI024041001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice