Provider Demographics
NPI:1407014574
Name:KUBINAK, GREGORY ARTHUR (DMD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:ARTHUR
Last Name:KUBINAK
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 1:652 MIDDLESEX AVE
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-1812
Mailing Address - Country:US
Mailing Address - Phone:732-603-0030
Mailing Address - Fax:732-603-8255
Practice Address - Street 1:652 MIDDLESEX AVE
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-1812
Practice Address - Country:US
Practice Address - Phone:732-603-0030
Practice Address - Fax:732-603-8255
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DIO19073001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice