Provider Demographics
NPI:1659429868
Name:ROBERT T. MARTINI D.D.S. P.A.
Entity Type:Organization
Organization Name:ROBERT T. MARTINI D.D.S. P.A.
Other - Org Name:EMERSON DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:MARTINI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-262-3663
Mailing Address - Street 1:110 KINDERKAMACK RD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630-1854
Mailing Address - Country:US
Mailing Address - Phone:201-262-3663
Mailing Address - Fax:
Practice Address - Street 1:110 KINDERKAMACK RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630-1854
Practice Address - Country:US
Practice Address - Phone:201-262-3663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0193471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty