Individual
ROBERT JOHN EARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
135 S CLAY ST, MILLERSBURG, OH 44654-1307
(330) 674-8080
(330) 674-4876
Mailing address
PO BOX 547, 128 W MCCONKEY STREET, SHREVE, OH 44676-0547
(330) 567-3333
(330) 567-5919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
301-01-5084
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001390
DORAL DENTAL PROVIDER
OH
05
—
0326445
—
OH
01
—
341807825027
CARESOURCE PROVIDER NUMBE
OH
Enumeration date
03/13/2007
Last updated
01/03/2013
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