Provider Demographics
NPI:1669528824
Name:SINIBALDI P.C., ROBERT T (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:T
Last Name:SINIBALDI P.C.
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7046 TORRESDALE AVE
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19135-1915
Mailing Address - Country:US
Mailing Address - Phone:215-624-4955
Mailing Address - Fax:215-624-8283
Practice Address - Street 1:7046 TORRESDALE AVE
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19135-1915
Practice Address - Country:US
Practice Address - Phone:215-624-4955
Practice Address - Fax:215-624-8283
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024179L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist