Provider Demographics
NPI:1386843019
Name:POBINER, TODD DARREN (DMD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:DARREN
Last Name:POBINER
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 1:3366 PARK AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-3770
Mailing Address - Country:US
Mailing Address - Phone:516-826-6655
Mailing Address - Fax:516-826-8542
Practice Address - Street 1:3366 PARK AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3770
Practice Address - Country:US
Practice Address - Phone:516-826-6655
Practice Address - Fax:516-826-8542
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0523011223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics