Provider Demographics
NPI:1972914786
Name:JOSEPH O. NASIFE, DMD
Entity Type:Organization
Organization Name:JOSEPH O. NASIFE, DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:O
Authorized Official - Last Name:NASIFE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-896-1595
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:215-362-3368
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:215-362-3368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty