Provider Demographics
NPI:1801638226
Name:DOBRON, COURTNEY (DMD)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:DOBRON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 MAPLE SHADE AVE E
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-2015
Mailing Address - Country:US
Mailing Address - Phone:609-947-3728
Mailing Address - Fax:
Practice Address - Street 1:957 ROUTE 33
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-2727
Practice Address - Country:US
Practice Address - Phone:609-587-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI03026800122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist