Provider Demographics
NPI:1104948546
Name:ROBERT S. GELBERT, DDS, PC
Entity type:Organization
Organization Name:ROBERT S. GELBERT, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:GELBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:856-783-0220
Mailing Address - Street 1:59 LAKEVIEW DR N
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GIBBSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08026-1002
Mailing Address - Country:US
Mailing Address - Phone:856-783-0220
Mailing Address - Fax:856-783-0225
Practice Address - Street 1:59 LAKEVIEW DR N
Practice Address - Street 2:SUITE 2
Practice Address - City:GIBBSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08026-1002
Practice Address - Country:US
Practice Address - Phone:856-783-0220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-05
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ171991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty