Provider Demographics
NPI:1144377722
Name:LORINO, ROBERT (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:LORINO
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 1:689 VALLEY RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:GILLETTE
Mailing Address - State:NJ
Mailing Address - Zip Code:07933-1906
Mailing Address - Country:US
Mailing Address - Phone:908-542-0042
Mailing Address - Fax:908-542-0041
Practice Address - Street 1:689 VALLEY RD
Practice Address - Street 2:SUITE 208
Practice Address - City:GILLETTE
Practice Address - State:NJ
Practice Address - Zip Code:07933-1906
Practice Address - Country:US
Practice Address - Phone:908-542-0042
Practice Address - Fax:908-542-0041
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI021526001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics