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NPI Code Detail

MEDICARE: ROBERT DANIEL KIFER D.D.S.

MEDICARE:   ROBERT DANIEL KIFER  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223D0001XPublic Health Dentistry55805CA

General Provider Information

NPI Number : 1235153099
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT DANIEL KIFER D.D.S.
Provider Business Mailing Address
First Line : 1058 COLLEGE DR
Second Line :
City : NEW TOWN
State : ND
Zip : 58763-9112
Country : US
Telephone Number : 701-627-7927
Fax Number :
Provider Business Practice Location Address
First Line : 1058 COLLEGE DR
Second Line :
City : NEW TOWN
State : ND
Zip : 58763-9112
Country : US
Telephone Number : 701-627-7927
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/31/2014

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Directions to “ ROBERT DANIEL KIFER D.D.S.” Practice Location

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