Individual
DR. ROBERT H DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4313 REGAL AVE, BRUNSWICK, OH 44212-2978
(330) 225-0105
(330) 220-7883
Mailing address
4313 REGAL AVE, BRUNSWICK, OH 44212-2978
(330) 225-0105
(330) 220-7883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14831
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14831
STATE LISCNESE NUMBER
OH
01
—
341343693
FEDERAL TAX ID
—
Enumeration date
06/17/2005
Last updated
03/21/2011
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