MEDICARE: DR. ROBERT MORRIS KNEPPER D.D.S.

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	1223P0300X	Periodontics	030859	NY

General Provider Information

NPI Number	:	1851372791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT MORRIS KNEPPER D.D.S.

Provider Business Mailing Address
First Line	:	1 KENSINGTON GATE APT 214
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-1229
Country	:	US
Telephone Number	:	516-297-1227
Fax Number	:	516-829-5450

Provider Business Practice Location Address
First Line	:	1 KENSINGTON GATE APT 214
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-1229
Country	:	US
Telephone Number	:	516-297-1227
Fax Number	:	516-829-5450

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	03/24/2024

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Directions to “ DR. ROBERT MORRIS KNEPPER D.D.S.” Practice Location

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