MEDICARE: ROBERT C. FLIKEID, DDS, PLC

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	0401007817	VA

General Provider Information

NPI Number	:	1982890281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT C. FLIKEID, DDS, PLC

Provider Business Mailing Address
First Line	:	220 CULPEPER ST
Second Line	:	SUITE 201
City	:	WARRENTON
State	:	VA
Zip	:	20186-3248
Country	:	US
Telephone Number	:	540-347-3396
Fax Number	:	540-347-7520

Provider Business Practice Location Address
First Line	:	220 CULPEPER ST
Second Line	:	SUITE 201
City	:	WARRENTON
State	:	VA
Zip	:	20186-3248
Country	:	US
Telephone Number	:	540-347-3396
Fax Number	:	540-347-7520

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT C FLIKEID
Credential	:	DDS
Telephone Number	:	540-347-3396

Provider Enumeration Date	:	09/20/2007
Last Update Date	:	09/20/2007

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