=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912305608
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROBERT HOCHBERG DDS
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/11/2014
-----------------------------------------------------
Last Update Date | 08/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2961 ALLEGRA WAY # 2961
-----------------------------------------------------
City | LUTZ
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33559-6998
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-973-4689
-----------------------------------------------------
Fax | 813-973-7682
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1246 W LINCOLN HWY
-----------------------------------------------------
City | COATESVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19320-1838
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223E0200X
-----------------------------------------------------
Taxonomy Name | Endodontics
-----------------------------------------------------
License Number | DN20699
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------