Healthcare Provider Details

I. General information

NPI: 1801419973
Provider Name (Legal Business Name): ROBERT HAOYU LIU D.M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2020
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE OMFS CLINIC BLDG 9, 2ND DECK RM 2505
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

8901 WISCONSIN AVE OMFS CLINIC BLDG 9, 2ND DECK RM 2505
BETHESDA MD
20889-3048
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4340
  • Fax:
Mailing address:
  • Phone: 585-752-9968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number11839372-9921
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number0401419361
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number11839372-9921
License Number StateUT
# 4
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number0438000531
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: