Provider Demographics
NPI:1962715243
Name:DUBIN, JOSEPH RAND (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RAND
Last Name:DUBIN
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 1:1648 ROUTE 130
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3016
Mailing Address - Country:US
Mailing Address - Phone:732-821-7676
Mailing Address - Fax:
Practice Address - Street 1:1648 ROUTE 130
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3016
Practice Address - Country:US
Practice Address - Phone:732-821-7676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI024275001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics