MEDICARE: DR. ROBERT W. YASKIN D.M.D.

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
1	1223G0001X	General Practice Dentistry	22DI01910700	NJ

General Provider Information

NPI Number	:	1467426767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT W. YASKIN D.M.D.

Provider Business Mailing Address
First Line	:	421 15TH ST
Second Line	:	SUITE 1
City	:	OCEAN CITY
State	:	NJ
Zip	:	08226-3125
Country	:	US
Telephone Number	:	609-399-7173
Fax Number	:	609-398-1338

Provider Business Practice Location Address
First Line	:	421 15TH ST
Second Line	:	SUITE 1
City	:	OCEAN CITY
State	:	NJ
Zip	:	08226-3125
Country	:	US
Telephone Number	:	609-399-7173
Fax Number	:	609-398-1338

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	07/08/2007

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