MEDICARE: MR. ROBERT ANTHONY CAGLIA 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
1	1223G0001X	General Practice Dentistry	31906	TX

General Provider Information

NPI Number	:	1700963063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT ANTHONY CAGLIA D.M.D.

Provider Business Mailing Address
First Line	:	421 SAGEWOOD CT
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-8761
Country	:	US
Telephone Number	:	480-223-7573
Fax Number	:	480-223-7573

Provider Business Practice Location Address
First Line	:	9155 BOULEVARD 26
Second Line	:	SUITE 290
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-5671
Country	:	US
Telephone Number	:	214-824-6468
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	04/13/2017

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