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NPI Code Detail

MEDICARE: ROBERT A. STROBEL, DDS, PC

MEDICARE: ROBERT A. STROBEL, DDS, PC
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 Dentistry2901017913MI

General Provider Information

NPI Number : 1619098134
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT A. STROBEL, DDS, PC
Provider Business Mailing Address
First Line : 2426 BURTON ST SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-4898
Country : US
Telephone Number : 616-949-7740
Fax Number :
Provider Business Practice Location Address
First Line : 2426 BURTON ST SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-4898
Country : US
Telephone Number : 616-949-7740
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROBERT A STROBEL
Credential : D.D.S.
Telephone Number : 616-949-7740
Provider Enumeration Date : 04/02/2007
Last Update Date : 08/22/2020

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