Provider Demographics
NPI:1588764682
Name:VERDIER, ROBERT J (DMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:VERDIER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 ROUTE 530 STE 6
Mailing Address - Street 2:
Mailing Address - City:WHITING
Mailing Address - State:NJ
Mailing Address - Zip Code:08759-3140
Mailing Address - Country:US
Mailing Address - Phone:732-350-2400
Mailing Address - Fax:732-350-5405
Practice Address - Street 1:550 ROUTE 530 STE 6
Practice Address - Street 2:
Practice Address - City:WHITING
Practice Address - State:NJ
Practice Address - Zip Code:08759-3140
Practice Address - Country:US
Practice Address - Phone:732-350-2400
Practice Address - Fax:732-350-5405
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ116221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice