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NPI Code Detail

MEDICARE: DR. ROBERT J SEXAUER D.D.S.

MEDICARE: DR. ROBERT J SEXAUER D.D.S.
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
11223G0001XGeneral Practice Dentistry12745MO

General Provider Information

NPI Number : 1275539322
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT J SEXAUER D.D.S.
Provider Business Mailing Address
First Line : 2000 N GAINES DR
Second Line : STE A
City : CLINTON
State : MO
Zip : 64735-1132
Country : US
Telephone Number : 660-885-6933
Fax Number : 660-885-6935
Provider Business Practice Location Address
First Line : 2000 N GAINES DR
Second Line : STE A
City : CLINTON
State : MO
Zip : 64735-1132
Country : US
Telephone Number : 660-885-6933
Fax Number : 660-885-6935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 07/08/2007

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