Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin Ellis Dornisch, DMD

Individual provider Dentist · NPI 1316688617

Dr. Justin Ellis Dornisch, DMD is a Dentist in Teaneck, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.

Licensed in
NJ
In the registry since
2022
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

741 Teaneck Rd
Teaneck, NJ 07666-4261
Phone: (201) 837-9070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22DI02949000 (NJ)

Record details

NPI number1316688617
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 2, 2022
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

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