Provider Demographics
NPI:1164446365
Name:GOREN ROBINS, CHERYL J (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:J
Last Name:GOREN ROBINS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:75 MAIN ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1367
Mailing Address - Country:US
Mailing Address - Phone:973-467-5567
Mailing Address - Fax:973-467-5639
Practice Address - Street 1:75 MAIN ST
Practice Address - Street 2:SUITE 107
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1367
Practice Address - Country:US
Practice Address - Phone:973-467-5567
Practice Address - Fax:973-467-5639
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI019299001223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics