Individual
DR. ROBERT C GOLDTRAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4001 W FINANCIAL PKWY, ROGERS, AR 72758-1449
(479) 636-8700
Mailing address
4001 W FINANCIAL PKWY, ROGERS, AR 72758-1449
(479) 636-8700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3242
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139699608
—
AR
05
—
200108090A
—
OK
01
—
464681
UNITED CONCORDIA
—
01
—
5U751
BLUE CROSS BLUE SHIELD
AR
05
—
710861858
—
AR
Enumeration date
01/16/2008
Last updated
02/10/2023
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