Provider Demographics
NPI:1275803322
Name:GELBER, MARC B (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:B
Last Name:GELBER
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 1:133 NEW MONMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2232
Mailing Address - Country:US
Mailing Address - Phone:732-671-3501
Mailing Address - Fax:732-671-3503
Practice Address - Street 1:133 NEW MONMOUTH RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2232
Practice Address - Country:US
Practice Address - Phone:732-671-3501
Practice Address - Fax:732-671-3503
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD02669500122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist