Healthcare Provider Details
I. General information
NPI: 1134274996
Provider Name (Legal Business Name): ROBERT P. HOHENSTEIN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10195 N ORACLE RD STE 111
ORO VALLEY AZ
85704-8751
US
IV. Provider business mailing address
10195 N ORACLE RD STE 111
ORO VALLEY AZ
85704-8751
US
V. Phone/Fax
- Phone: 520-797-4844
- Fax: 520-219-0869
- Phone: 520-797-4844
- Fax: 520-219-0869
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | D4022 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: