Provider Demographics
NPI:1245438373
Name:JOSEPH, RINU (DMD)
Entity type:Individual
Prefix:
First Name:RINU
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 S GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401-1474
Mailing Address - Country:US
Mailing Address - Phone:717-846-5846
Mailing Address - Fax:717-854-0377
Practice Address - Street 1:1230 HIGH ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1127
Practice Address - Country:US
Practice Address - Phone:717-632-9052
Practice Address - Fax:717-632-0846
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD138051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2111367OtherUNITED CONCORDIA
PA102223320Medicaid
PADS037659OtherDELTA DENTAL
PA2111367OtherGATEWAY
PA262627OtherUNITEDHEALTHCARE
PA9181299OtherDENTAQUEST