Provider Demographics
NPI:1750325593
Name:LOEB, ROBERT LEHMANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LEHMANN
Last Name:LOEB
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 1:180 RAMAPO VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-2524
Mailing Address - Country:US
Mailing Address - Phone:201-337-3701
Mailing Address - Fax:201-337-3083
Practice Address - Street 1:180 RAMAPO VALLEY RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-2524
Practice Address - Country:US
Practice Address - Phone:201-337-3701
Practice Address - Fax:201-337-3083
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI009110001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics