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NPI Code Detail

MEDICARE: DR. ROBERT HEDGEPATH D.M.D.

MEDICARE:  DR. ROBERT  HEDGEPATH  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
11223P0700XProsthodonticsDN12713FL

General Provider Information

NPI Number : 1891903944
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT HEDGEPATH D.M.D.
Provider Business Mailing Address
First Line : 991 HIGH POINT DR
Second Line :
City : NAPLES
State : FL
Zip : 34103-3877
Country : US
Telephone Number : 239-261-5691
Fax Number : 239-261-7854
Provider Business Practice Location Address
First Line : 991 HIGH POINT DR
Second Line :
City : NAPLES
State : FL
Zip : 34103-3877
Country : US
Telephone Number : 239-261-5691
Fax Number : 239-261-7854
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT HEDGEPATH D.M.D.” Practice Location

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