Healthcare Provider Details
I. General information
NPI: 1598842346
Provider Name (Legal Business Name): ROBERT ALLEN DOYLE JR. DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/01/2006
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 RED MILLS RD
WALLKILL NY
12589-3220
US
IV. Provider business mailing address
2700 SUNSET BLVD
STEUBENVILLE OH
43952-1158
US
V. Phone/Fax
- Phone: 845-744-9105
- Fax:
- Phone: 740-264-6811
- Fax: 740-264-6812
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 050566 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | DS035693 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: