Healthcare Provider Details

I. General information

NPI: 1225038300
Provider Name (Legal Business Name): ROBERT JOSEPH DENT MS, MPT, ATC, CSCS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 08/26/2022
Certification Date: 08/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 PITTSBURGH ST
SPRINGDALE PA
15144-1409
US

IV. Provider business mailing address

507 PITTSBURGH ST
SPRINGDALE PA
15144-1409
US

V. Phone/Fax

Practice location:
  • Phone: 724-275-7827
  • Fax: 724-275-7749
Mailing address:
  • Phone: 724-275-7827
  • Fax: 724-275-7749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT009189L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberDAPT000647
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: