Dillard, Robert M
Dillard, Robert M is an individual health care provider with primary practice located at 626 Second Ave , Okanogan WA 98840-1340. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Dillard, Robert M can be contacted via phone (509) 422-6705.Contact Information
Primary practice address
626 Second Ave
Okanogan WA 98840-1340
Phone: (509) 422-6705
Fax: (509) 422-6708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE00010710 | Washington |
| Dental Providers / General Practice | 1223G0001X | 186 | Colorado |
Profile Details
| NPI number | 1245202829 |
|---|---|
| LBN Legal business name | Dillard, Robert M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Nov 3rd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245202829 | NPPES |
| Washington | MEDICAID | 5054812 |
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