Provider Demographics
NPI:1073627261
Name:KAMINKER, MARTIN ALAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:ALAN
Last Name:KAMINKER
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 1:1505 STATE ROUTE 27
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3904
Mailing Address - Country:US
Mailing Address - Phone:732-846-6350
Mailing Address - Fax:732-846-6311
Practice Address - Street 1:1505 STATE ROUTE 27
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3904
Practice Address - Country:US
Practice Address - Phone:732-846-6350
Practice Address - Fax:732-846-6311
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31631223S0112X
NY0362791223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery