Provider Demographics
NPI:1588692461
Name:LANDSMAN, JOSHUA SETH (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:SETH
Last Name:LANDSMAN
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 1:175 FRANKLIN AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-3819
Mailing Address - Country:US
Mailing Address - Phone:973-661-5200
Mailing Address - Fax:973-661-0959
Practice Address - Street 1:175 FRANKLIN AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-3819
Practice Address - Country:US
Practice Address - Phone:973-661-5200
Practice Address - Fax:973-661-0959
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ91551223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU21395Medicare UPIN
NJ183617Medicare ID - Type Unspecified