DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. ROBERT WILLARD UNDERILL JR. D.M.D.

MEDICARE: DR. ROBERT WILLARD UNDERILL JR. 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
1122300000XDentistDN 8803FL

General Provider Information

NPI Number : 1306155163
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT WILLARD UNDERILL JR. D.M.D.
Provider Business Mailing Address
First Line : 2156 JULIAN AVE NE
Second Line :
City : PALM BAY
State : FL
Zip : 32905-4020
Country : US
Telephone Number : 321-724-9300
Fax Number : 321-727-8361
Provider Business Practice Location Address
First Line : 2156 JULIAN AVE NE
Second Line :
City : PALM BAY
State : FL
Zip : 32905-4020
Country : US
Telephone Number : 321-724-9300
Fax Number : 321-727-8361
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2010
Last Update Date : 09/28/2010

Similar Medicare Providers

1073477477 — ELIZABETH CARBO
Practice Location Address:
2180 JULIAN AVE NE
PALM BAY, FL
32905-4020
Practice Phone: 321-345-0861
Practice Fax:
1457215543 — JUNELLE MILFORT
Practice Location Address:
2180 JULIAN AVE NE
PALM BAY, FL
32905-4020
Practice Phone: 321-345-0861
Practice Fax:
1780027201 — CHARLENE WALKER
Practice Location Address:
2180 JULIAN AVE NE
PALM BAY, FL
32905-4020
Practice Phone: 321-345-0861
Practice Fax:
1215489901 — GIANCARLO OJEDA SANJURJO BCABA
Practice Location Address:
2180 JULIAN AVE NE
PALM BAY, FL
32905-4020
Practice Phone: 321-372-6813
Practice Fax: 321-765-6434
1932661774 — KIARA R SAVANNAH
Practice Location Address:
2180 JULIAN AVE NE
PALM BAY, FL
32905-4020
Practice Phone: 321-345-0861
Practice Fax:
1023620291 — MICHELLE SANTANA RBT
Practice Location Address:
2180 JULIAN AVE NE
PALM BAY, FL
32905-4020
Practice Phone: 321-372-6813
Practice Fax: 321-765-6434

Directions to “ DR. ROBERT WILLARD UNDERILL JR. D.M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.