Provider Demographics
NPI:1659166775
Name:DOROBA ORAL SURGERY AND DENTAL IMPLANT CENTER,LLC
Entity type:Organization
Organization Name:DOROBA ORAL SURGERY AND DENTAL IMPLANT CENTER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DOROBA
Authorized Official - Suffix:III
Authorized Official - Credentials:DMD
Authorized Official - Phone:609-847-7554
Mailing Address - Street 1:344 CHEWS LANDING RD
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-3840
Mailing Address - Country:US
Mailing Address - Phone:609-847-7554
Mailing Address - Fax:856-556-6647
Practice Address - Street 1:1808 SPRINGDALE RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2002
Practice Address - Country:US
Practice Address - Phone:609-847-7554
Practice Address - Fax:856-556-6647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty