Provider Demographics
NPI:1831232511
Name:ISERSON, JOEL DAVID (DDS)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:DAVID
Last Name:ISERSON
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 1:400 ROUTE 130 SOUTH
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520
Mailing Address - Country:US
Mailing Address - Phone:609-918-1900
Mailing Address - Fax:609-918-0993
Practice Address - Street 1:400 ROUTE 130 SOUTH
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520
Practice Address - Country:US
Practice Address - Phone:609-918-1900
Practice Address - Fax:609-918-0993
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI010091001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice