Individual
DR. ROBERT MICHAEL SANSEVERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02892600
NJ
1223G0001X
General Practice Dentistry
9155
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10756
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9155
SC
Other
Enumeration date
06/28/2018
Last updated
07/07/2026
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