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NPI Code Detail

MEDICARE: DR. ROBERT LOUIS HOLLOWELL III DDS, MSD

MEDICARE:  DR. ROBERT LOUIS HOLLOWELL III DDS, MSD
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
11223P0221XPediatric Dentistry7777NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538295472
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT LOUIS HOLLOWELL III DDS, MSD
Provider Business Mailing Address
First Line : 2824 ROGERS ROAD
Second Line : SUITE 201
City : WAKE FOREST
State : NC
Zip : 27587-3896
Country : US
Telephone Number : 919-435-7660
Fax Number : 919-453-6370
Provider Business Practice Location Address
First Line : 2824 ROGERS ROAD
Second Line : SUITE 201
City : WAKE FOREST
State : NC
Zip : 27587-3896
Country : US
Telephone Number : 919-435-7660
Fax Number : 919-453-6370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 04/30/2012

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Directions to “ DR. ROBERT LOUIS HOLLOWELL III DDS, MSD” Practice Location

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