Provider Demographics
NPI:1871641910
Name:MARTINI, ROBERT T (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:T
Last Name:MARTINI
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 1:110 KINDERKAMACK RD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630-1854
Mailing Address - Country:US
Mailing Address - Phone:201-262-3663
Mailing Address - Fax:
Practice Address - Street 1:110 KINDERKAMACK RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630-1854
Practice Address - Country:US
Practice Address - Phone:201-262-3663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0193471223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics