Provider Demographics
NPI:1831286715
Name:PAUL S. GABIN, D.M.D. & GERALD J. PINCUS, D.M.D., P.A.
Entity Type:Organization
Organization Name:PAUL S. GABIN, D.M.D. & GERALD J. PINCUS, D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:GABIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-865-1150
Mailing Address - Street 1:761 HUMBOLDT ST
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-3232
Mailing Address - Country:US
Mailing Address - Phone:201-865-1150
Mailing Address - Fax:201-865-1236
Practice Address - Street 1:761 HUMBOLDT ST
Practice Address - Street 2:
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-3232
Practice Address - Country:US
Practice Address - Phone:201-865-1150
Practice Address - Fax:201-865-1236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2008-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ103571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty