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
Fax: (509) 422-6708
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245202829 NPPES
Washington MEDICAID 5054812

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