Provider Demographics
NPI:1407956931
Name:ROBINOVITZ, EDWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:
Last Name:ROBINOVITZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C/O COL SOONJA P CHOI MD
Mailing Address - Street 2:HHC 121 GENERAL HOSPITAL BOX 232
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96205-5244
Mailing Address - Country:US
Mailing Address - Phone:011822-749-7068
Mailing Address - Fax:
Practice Address - Street 1:168TH MED DET , CARIUS DENTAL CLINIC
Practice Address - Street 2:UNIT 15652
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96205
Practice Address - Country:KR
Practice Address - Phone:0118227-915-3063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0011651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJDI001165OtherDENTAL LICENSE
PADS081072OtherDENTAL LICENSE
NJAR8454085OtherDEA NUMBER