Provider Demographics
NPI:1497868756
Name:J. GREGORY KRINKS, DDS, PA
Entity Type:Organization
Organization Name:J. GREGORY KRINKS, DDS, PA
Other - Org Name:KRINKS DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:KRINKS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:856-224-1700
Mailing Address - Street 1:125 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:PAULSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08066-1525
Mailing Address - Country:US
Mailing Address - Phone:856-224-1700
Mailing Address - Fax:856-423-5569
Practice Address - Street 1:125 W BROAD ST
Practice Address - Street 2:
Practice Address - City:PAULSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08066-1525
Practice Address - Country:US
Practice Address - Phone:856-224-1700
Practice Address - Fax:856-423-5569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI011140001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty