Provider Demographics
NPI:1023198793
Name:DOLMAN, ROBERT MARK (DDSMSC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MARK
Last Name:DOLMAN
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Gender:M
Credentials:DDSMSC
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Mailing Address - Street 1:12 E 41ST ST
Mailing Address - Street 2:SUITE 1102
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6221
Mailing Address - Country:US
Mailing Address - Phone:212-696-0167
Mailing Address - Fax:917-463-0296
Practice Address - Street 1:12 E 41ST ST
Practice Address - Street 2:SUITE 1102
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6221
Practice Address - Country:US
Practice Address - Phone:212-696-0167
Practice Address - Fax:917-463-0296
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2016-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0542771223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology