Healthcare Provider Details

I. General information

NPI: 1275001158
Provider Name (Legal Business Name): RBGS PARTNERS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2018
Last Update Date: 11/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 FRONT STREET
ELMER NJ
08318
US

IV. Provider business mailing address

440 FRONT ST
ELMER NJ
08318-2177
US

V. Phone/Fax

Practice location:
  • Phone: 856-358-8303
  • Fax:
Mailing address:
  • Phone: 856-358-8318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. GREGORY WILLIAM STRAIT
Title or Position: OWNER
Credential: DMD
Phone: 267-334-0082