Provider Demographics
NPI:1780641100
Name:D & R DENTAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:D & R DENTAL ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOBROWOLSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-477-8686
Mailing Address - Street 1:107 B ST
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-7256
Mailing Address - Country:US
Mailing Address - Phone:732-255-7049
Mailing Address - Fax:732-477-6398
Practice Address - Street 1:445 BRICK BLVD
Practice Address - Street 2:SUITE #108
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-6048
Practice Address - Country:US
Practice Address - Phone:732-477-8686
Practice Address - Fax:732-477-6398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty