Healthcare Provider Details

I. General information

NPI: 1831220599
Provider Name (Legal Business Name): ROBERT ALLEN UHLE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 01/13/2021
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2654 W LAKE RD
PALM HARBOR FL
34684-3120
US

IV. Provider business mailing address

2654 W LAKE RD
PALM HARBOR FL
34684-3120
US

V. Phone/Fax

Practice location:
  • Phone: 727-787-4005
  • Fax:
Mailing address:
  • Phone: 727-787-4005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN11719
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN010654
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number30019475
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: