Individual
DR. ROBERT SCOTT HAKES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
26232 N TATUM BLVD, SUITE 100, PHOENIX, AZ 85050-7501
(480) 538-8040
(480) 419-7120
Mailing address
2020 E EVANS DR, PHOENIX, AZ 85022-4632
(602) 971-0366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2193
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0494680
BLUE CROSS/BLUE SHIELD OF
AZ
Enumeration date
04/10/2006
Last updated
07/08/2007
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