Provider Demographics
NPI:1932311271
Name:FARBER, ROBERT GARY (DDS)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:GARY
Last Name:FARBER
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 1:2106 NEW RD STE A5
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1047
Mailing Address - Country:US
Mailing Address - Phone:609-653-0333
Mailing Address - Fax:609-653-6538
Practice Address - Street 1:2106 NEW RD STE A5
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1047
Practice Address - Country:US
Practice Address - Phone:609-653-0333
Practice Address - Fax:609-653-6538
Is Sole Proprietor?:No
Enumeration Date:2007-05-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0136391223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD03400500OtherNJ CDS REGISTRATION #
NJDI013639OtherNJ STATE DENTAL LICENSE #
NJDI013639OtherNJ STATE DENTAL LICENSE #