MEDICARE: DR. ROBERT F. PRIOR D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	7855	MD

General Provider Information

NPI Number	:	1134175342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT F. PRIOR D.M.D.

Provider Business Mailing Address
First Line	:	22951 CATTAIL LANE
Second Line	:
City	:	CALIFORNIA
State	:	MD
Zip	:	20619
Country	:	US
Telephone Number	:	301-737-1724
Fax Number	:	301-737-1941

Provider Business Practice Location Address
First Line	:	22738 MAPLE RD
Second Line	:	SUITE 214
City	:	LEXINGTON PARK
State	:	MD
Zip	:	20653-3347
Country	:	US
Telephone Number	:	301-862-3227
Fax Number	:	301-862-3385

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	07/08/2007

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