Organization
ROBERT C GOLDTRAP DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C GOLDTRAP DDS (OWNER)
(479) 484-7645
Entity
Organization
Contact information
Practice address
8309 PHOENIX AVE, FORT SMITH, AR 72903-6141
(479) 484-7645
(479) 484-1551
Mailing address
8309 PHOENIX AVE, FORT SMITH, AR 72903-6141
(479) 484-7645
(479) 484-1551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160840631
—
AR
05
—
200108080A
—
OK
01
—
464681
UNITED CONCORDIA
—
01
—
5U751
BCBS ARKANSAS
—
Enumeration date
10/31/2006
Last updated
07/21/2010
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