Individual
ROBERT LIVINGSTON NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1145 KILDAIRE FARM RD, SUITE 100, CARY, NC 27511-4594
(919) 469-9613
Mailing address
1145 KILDAIRE FARM RD, SUITE 100, CARY, NC 27511-4594
(919) 469-9613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4521
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8996452
—
NC
Enumeration date
04/25/2007
Last updated
07/09/2007
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