Provider Demographics
NPI:1982913539
Name:LOEWENTHAL, JOSEF (DDS)
Entity type:Individual
Prefix:
First Name:JOSEF
Middle Name:
Last Name:LOEWENTHAL
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 1:10 HELLBROOK LN
Mailing Address - Street 2:
Mailing Address - City:ULSTER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12487-5209
Mailing Address - Country:US
Mailing Address - Phone:845-943-6322
Mailing Address - Fax:845-384-8062
Practice Address - Street 1:10 HELLBROOK LN
Practice Address - Street 2:
Practice Address - City:ULSTER PARK
Practice Address - State:NY
Practice Address - Zip Code:12487-5209
Practice Address - Country:US
Practice Address - Phone:845-943-6322
Practice Address - Fax:845-384-8062
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY39020000X1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice