Healthcare Provider Details

I. General information

NPI: 1295831386
Provider Name (Legal Business Name): ALRENE E ROBINSON-CAMPBELL DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 06/04/2020
Certification Date: 06/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 ENGLISH CREEK AVE STE C6
EGG HARBOR TOWNSHIP NJ
08234-4818
US

IV. Provider business mailing address

1 N WHITE HORSE PIKE
HAMMONTON NJ
08037-1875
US

V. Phone/Fax

Practice location:
  • Phone: 609-481-3185
  • Fax: 609-569-0104
Mailing address:
  • Phone: 609-567-0200
  • Fax: 609-704-1482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI01927300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: