Provider Demographics
NPI:1780855643
Name:ROBERT ADLER DDS PC
Entity Type:Organization
Organization Name:ROBERT ADLER DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ADLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-438-8400
Mailing Address - Street 1:5824 14 AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4623
Mailing Address - Country:US
Mailing Address - Phone:718-438-8400
Mailing Address - Fax:718-438-5292
Practice Address - Street 1:5824 14 AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4623
Practice Address - Country:US
Practice Address - Phone:718-438-8400
Practice Address - Fax:718-438-5292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0309371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty