Provider Demographics
NPI:1609972157
Name:CUBBAGE, EARL F (DDS)
Entity Type:Individual
Prefix:DR
First Name:EARL
Middle Name:F
Last Name:CUBBAGE
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:3100 PRINCETON PIKE
Mailing Address - Street 2:BLDG. 4 - SUITE F
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2300
Mailing Address - Country:US
Mailing Address - Phone:609-896-2999
Mailing Address - Fax:609-896-0701
Practice Address - Street 1:3100 PRINCETON PIKE
Practice Address - Street 2:BLDG. 4 - SUITE F
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2300
Practice Address - Country:US
Practice Address - Phone:609-896-2999
Practice Address - Fax:609-896-0701
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJD1-196401223S0112X
NJD1065451223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery