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General NPI Number Information
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NPI Number | 1518306216
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Entity Type | Individual
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Provider Name | ROBERT C PATTON III D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 3005 FALLING LEAF CT
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City | COLUMBIA
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State | MO
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Zip | 65201-3549
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Country | US
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Telephone | 573-875-7040
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Fax | 573-442-3176
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Provider Business Mailing Address
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Address Line | 3005 FALLING LEAF CT
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City | COLUMBIA
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State | MO
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Zip | 65201-3549
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Country | US
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Telephone | 573-844-4255
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Fax | 573-446-5118
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2013016194
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License Number State | MO
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