Provider Demographics
NPI:1609990233
Name:LOSAPIO, TODD JOSEPH (DMD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:JOSEPH
Last Name:LOSAPIO
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 1:709 SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-4946
Mailing Address - Country:US
Mailing Address - Phone:732-842-6300
Mailing Address - Fax:732-676-7769
Practice Address - Street 1:709 SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07701-4946
Practice Address - Country:US
Practice Address - Phone:732-842-6300
Practice Address - Fax:732-676-7769
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2015-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0180881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice