Provider Demographics
NPI:1073858148
Name:ROBERT LORBER DMD PC
Entity Type:Organization
Organization Name:ROBERT LORBER DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LORBER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:718-708-5559
Mailing Address - Street 1:507 DEKALB AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-4816
Mailing Address - Country:US
Mailing Address - Phone:718-708-5559
Mailing Address - Fax:
Practice Address - Street 1:507 DEKALB AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-4816
Practice Address - Country:US
Practice Address - Phone:718-708-5559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROBERT LORBER DMD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052422122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty