Healthcare Provider Details

I. General information

NPI: 1861004129
Provider Name (Legal Business Name): YOUSOF SINJAB DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6115 STIRLING RD STE 213
DAVIE FL
33314-7240
US

IV. Provider business mailing address

435 N ANDREWS AVE APT 205
FORT LAUDERDALE FL
33301-3286
US

V. Phone/Fax

Practice location:
  • Phone: 954-791-3277
  • Fax:
Mailing address:
  • Phone: 248-808-5352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberD25008
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901600636
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: