Organization
JOHN L. ROBERT, JR. D.D.S., A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LEWIS ROBERT JR. D.D.S. (PRESIDENT)
(337) 893-8048
Entity
Organization
Contact information
Practice address
2616 NORTH DR, ABBEVILLE, LA 70510-4043
(337) 893-8048
(337) 893-8048
Mailing address
2616 NORTH DR, ABBEVILLE, LA 70510-4043
(337) 893-8048
(337) 893-8048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3024
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1830241
—
LA
Enumeration date
10/10/2006
Last updated
08/22/2020
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