Provider Demographics
NPI:1902951585
Name:BANKER, JOSEPH RICHARD (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RICHARD
Last Name:BANKER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 SOUTH AVE W
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-1403
Mailing Address - Country:US
Mailing Address - Phone:908-232-0400
Mailing Address - Fax:908-232-0401
Practice Address - Street 1:423 SOUTH AVE W
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-1403
Practice Address - Country:US
Practice Address - Phone:908-232-0400
Practice Address - Fax:908-232-0401
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI197151223G0001X
NJDI19715-011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice