SUBURBAN PERIODONTICS AND IMPLANTS LLC NPI 1639283948

NPI Information

  • NPI: 1639283948
  • Provider Name: SUBURBAN PERIODONTICS AND IMPLANTS LLC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 75 MAIN STREET
    SUITE 107
    MILLBURN, NJ
    ZIP 07041
  • Phone: (973) 467-5567

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NPI Details

SUBURBAN PERIODONTICS AND IMPLANTS LLC is a periodontics dentist in Millburn, NJ. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. SUBURBAN PERIODONTICS AND IMPLANTS LLC NPI is 1639283948. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

75 MAIN STREET
SUITE 107
MILLBURN, NJ
ZIP 07041
Phone: (973) 467-5567
Fax: (973) 467-5639

The provider's authorized official is Cheryl J Goren Robins .
The authorized official title is Partner and has the following contact phone number (973) 467-5567.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 6/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsTINNEW JERSEYYes

What is NPI?

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This page was last updated on: 11/21/2025

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