Provider Demographics
NPI:1538165832
Name:SINCLAIR, JOHN TERRENCE (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:TERRENCE
Last Name:SINCLAIR
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 1:732 1/2 BARKER RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-8000
Mailing Address - Country:US
Mailing Address - Phone:413-445-7791
Mailing Address - Fax:413-445-7532
Practice Address - Street 1:207 1ST ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4725
Practice Address - Country:US
Practice Address - Phone:413-445-7791
Practice Address - Fax:413-445-7532
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA149121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice