MEDICARE: DR. ROBERT MARTIN GLEIBER D.M.D.,P.A.

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	FL5920	FL

General Provider Information

NPI Number	:	1912027095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT MARTIN GLEIBER D.M.D.,P.A.

Provider Business Mailing Address
First Line	:	2951 RHONE DR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-1265
Country	:	US
Telephone Number	:	561-832-2551
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 S DIXIE HWY
Second Line	:	SUITE B
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-2647
Country	:	US
Telephone Number	:	561-832-2551
Fax Number	:

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

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	07/08/2007

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