Provider Demographics
NPI:1912626706
Name:POOSTCHI, DANA (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:POOSTCHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 W 53RD ST APT 863
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-5960
Mailing Address - Country:US
Mailing Address - Phone:424-391-5020
Mailing Address - Fax:
Practice Address - Street 1:666 PLAINSBORO RD STE 645
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-3029
Practice Address - Country:US
Practice Address - Phone:609-779-1625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI029287001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice