Provider Demographics
NPI:1942392329
Name:KARLSBERG, ROBERT IRWIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:IRWIN
Last Name:KARLSBERG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 SYCAMORE WAY
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-5661
Mailing Address - Country:US
Mailing Address - Phone:908-226-0941
Mailing Address - Fax:
Practice Address - Street 1:165 STELTON RD
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-3250
Practice Address - Country:US
Practice Address - Phone:732-752-1264
Practice Address - Fax:732-752-7939
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 0125881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice