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General NPI Number Information
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NPI Number | 1104900943
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Entity Type | Organization
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Legal Business Name | ROBERT E. JEPKO D.D.S., PA
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1155 HUFFMAN MILL RD
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City | BURLINGTON
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State | NC
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Zip | 27215-8862
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Country | US
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Telephone | 336-586-9696
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Fax | 336-538-4972
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Provider Business Mailing Address
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Address Line | 1155 HUFFMAN MILL RD
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City | BURLINGTON
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State | NC
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Zip | 27215-8862
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Country | US
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Telephone | 336-586-9696
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Fax | 336-538-4972
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT E. JEPKO
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Credential | D.D.S.
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Telephone | 336-586-9696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 5924
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License Number State | NC
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