Provider Demographics
NPI:1972797504
Name:NASIFE, JOSEPH O (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:O
Last Name:NASIFE
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 1:1322 LANSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1628
Mailing Address - Country:US
Mailing Address - Phone:215-896-1595
Mailing Address - Fax:
Practice Address - Street 1:1322 LANSDALE AVE
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-1628
Practice Address - Country:US
Practice Address - Phone:215-896-1595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS015464L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice