Mabry, Robert Todd

Mabry, Robert Todd is an sole proprietor health care provider with primary practice located at 4636 W Jefferson Blvd , Fort Wayne IN 46804-6826. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Mabry, Robert Todd can be contacted via phone (260) 436-9439.

Contact Information

Primary practice address
4636 W Jefferson Blvd Fort Wayne IN 46804-6826
Phone: (260) 436-9439
Fax: (260) 436-9467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 8592 Indiana
Dental Providers / Endodontics 1223E0200X 19654 Ohio

Profile Details

NPI number 1407933427
LBN Legal business name Mabry, Robert Todd
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 19 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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