DR. Justin Ellis Dornisch, DMD is a student in an organized health care education training program in Hackensack, NJ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Justin Ellis Dornisch, DMD NPI is 1316688617. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
30 PROSPECT AVE # 1
HACKENSACK, NJ
ZIP 07601-915
Phone: (551) 996-2111
The enumeration date for this NPI number is 4/2/2022 and was last updated on 4/2/2022.