Provider Demographics
NPI:1487740429
Name:MAIORINO, ROBERT JAMES (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JAMES
Last Name:MAIORINO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:215 EAST MAIN STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743
Mailing Address - Country:US
Mailing Address - Phone:631-421-0100
Mailing Address - Fax:631-421-7101
Practice Address - Street 1:215 EAST MAIN STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743
Practice Address - Country:US
Practice Address - Phone:631-421-0100
Practice Address - Fax:631-421-7101
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0448281223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery