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Organization
ROBERT E PIERCE, DMD, PC
Active
Organization
ROBERT E PIERCE, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT EDWARD PIERCE DMD (PRES/OWNER)
(850) 502-0011
Entity
Organization
Contact information
Practice address
DOCTOR'S MEMORIAL HOSPITAL, 2600 HOSPITAL DR DEPT OF SURGERY, BONIFAY, FL 32425-4264
(850) 502-0011
(251) 217-9070
Mailing address
1450 OLD CHEMSTRAND RD #448, GONZALEZ, FL 32560-7806
(850) 502-6488
(850) 462-2430
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076590200
—
FL
05
—
118421200
—
FL
Enumeration date
06/14/2010
Last updated
01/19/2024
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