Provider Demographics
NPI:1720298946
Name:CIANI, JOSEPH A, JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A,
Last Name:CIANI
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:MR
Other - First Name:JOSEPH
Other - Middle Name:A
Other - Last Name:CIANI
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:531 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-2739
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:531 RIDGE RD
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-2739
Practice Address - Country:US
Practice Address - Phone:201-935-6100
Practice Address - Fax:201-935-6070
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI167521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice