MEDICARE: ROBERT J DONSKER DDS

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	122300000X	Dentist	8297	MN

General Provider Information

NPI Number	:	1437134053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT J DONSKER DDS

Provider Business Mailing Address
First Line	:	3844 CENTRAL AVE NE
Second Line	:
City	:	COLUMBIA HEIGHTS
State	:	MN
Zip	:	55421
Country	:	US
Telephone Number	:	763-781-6976
Fax Number	:	763-788-8895

Provider Business Practice Location Address
First Line	:	3844 CENTRAL AVE NE
Second Line	:
City	:	COLUMBIA HEIGHTS
State	:	MN
Zip	:	55421
Country	:	US
Telephone Number	:	763-781-6976
Fax Number	:	763-788-8895

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT J DONSKER
Credential	:	DDS
Telephone Number	:	763-781-6976

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	08/22/2020

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