Provider Demographics
NPI:1407973381
Name:ROBINSON, MILTON ALVIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:ALVIN
Last Name:ROBINSON
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 1:208 WHITE HORSE PIKE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BARRINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08007-1322
Mailing Address - Country:US
Mailing Address - Phone:856-547-1300
Mailing Address - Fax:856-547-8779
Practice Address - Street 1:208 WHITE HORSE PIKE
Practice Address - Street 2:SUITE 2
Practice Address - City:BARRINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08007-1322
Practice Address - Country:US
Practice Address - Phone:856-547-1300
Practice Address - Fax:856-547-8779
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01073500122300000X
PADS019378L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist