Provider Demographics
NPI:1154455236
Name:CLAPCHICH, ROBERT J (DMD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:CLAPCHICH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 MILLBURN AVE
Mailing Address - Street 2:SUITE 113
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1943
Mailing Address - Country:US
Mailing Address - Phone:973-379-2525
Mailing Address - Fax:973-379-2014
Practice Address - Street 1:116 MILLBURN AVE
Practice Address - Street 2:SUITE 113
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1943
Practice Address - Country:US
Practice Address - Phone:973-379-2525
Practice Address - Fax:973-379-2014
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ168181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice