Provider Demographics
NPI:1295943413
Name:DOBRIN, LAWRENCE ALLEN (DMD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:ALLEN
Last Name:DOBRIN
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 1:1 THRESHER CT
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-7428
Mailing Address - Country:US
Mailing Address - Phone:732-918-8732
Mailing Address - Fax:732-918-8732
Practice Address - Street 1:471 E WESTFIELD AVE
Practice Address - Street 2:
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-2431
Practice Address - Country:US
Practice Address - Phone:908-298-1300
Practice Address - Fax:908-241-1944
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ104501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice