Provider Demographics
NPI:1245339100
Name:BELOTT, ROBERT M (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:BELOTT
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 1:800 THE PLZ
Mailing Address - Street 2:SUITE #2
Mailing Address - City:SEA GIRT
Mailing Address - State:NJ
Mailing Address - Zip Code:08750-2900
Mailing Address - Country:US
Mailing Address - Phone:732-449-2312
Mailing Address - Fax:732-449-4623
Practice Address - Street 1:800 THE PLZ
Practice Address - Street 2:SUITE #2
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-2900
Practice Address - Country:US
Practice Address - Phone:732-449-2312
Practice Address - Fax:732-449-4623
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI011499001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice