Provider Demographics
NPI:1104693647
Name:GARY J SINAR DDS PC
Entity type:Organization
Organization Name:GARY J SINAR DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SINAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-474-6993
Mailing Address - Street 1:28124 ORCHARD LAKE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3760
Mailing Address - Country:US
Mailing Address - Phone:248-474-6993
Mailing Address - Fax:248-480-7093
Practice Address - Street 1:28124 ORCHARD LAKE RD STE 100
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3760
Practice Address - Country:US
Practice Address - Phone:248-474-6993
Practice Address - Fax:248-480-7093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist