# ROBERT L STUTTS III DMD PAII

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780080655
- **Authorized official:** DR. ROBERT LEE STUTTS III DMD (OWNER/SURGEON)
- **Authorized official phone:** (336) 272-4583

## Contact information

- **Practice address:** 200 E WENDOVER AVE STE B, GREENSBORO, NC 27401-1227
- **Practice address phone:** (336) 272-4583
- **Practice address fax:** (336) 378-6986
- **Mailing address:** 200 E WENDOVER AVE STE B, GREENSBORO, NC 27401-1227
- **Mailing address phone:** (336) 272-4583
- **Mailing address fax:** (336) 378-6986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9065 | NC | Yes |

## Other

- **Enumeration date:** 11/05/2014
- **Last updated:** 11/05/2014