Healthcare Provider Details

I. General information

NPI: 1568531358
Provider Name (Legal Business Name): ROBERT DOLVEN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 11/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RIVERSIDE CIRCLE
HAYESVILLE NC
28904
US

IV. Provider business mailing address

1 RIVERSIDE CIR
HAYESVILLE NC
28904-7946
US

V. Phone/Fax

Practice location:
  • Phone: 828-389-8052
  • Fax: 828-389-8533
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number7910
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: