Robert L Brockett in Crystal River - Oral And Maxillofacial Surgery
Robert L Brockett - NPI 1730287616
Robert L Brockett is a Oral And Maxillofacial Surgery in Crystal River, Florida. Robert L Brockett practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Robert L Brockett is 1730287616. The last update date is 2007-07-08.
Robert L Brockett's current location address is 6129 W Corporate Oaks Dr, Crystal River, Florida. You can contact this provider via phone number 3527954994 and fax number 3527954609. The mailing address for Robert L Brockett is 6129 W Corporate Oaks Dr, Crystal River, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert L Brockett |
|---|---|
| Address | 6129 W Corporate Oaks Dr, Crystal River, Florida |
| Phone Number | 3527954994 |
| Fax Number | 3527954609 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1730287616 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6129 W Corporate Oaks Dr |
|---|---|
| City | Crystal River |
| State | Florida (FL) |
| Post Code | 344298732 |
| Phone Number | 3527954994 |
| Fax Number | 3527954609 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DN 8810 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 73131500 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Robert L Brockett by the Centers for Medicare & Medicaid Services?
The Robert L Brockett has been assigned the NPI (National Provider Identifier) 1730287616 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Robert L Brockett is physically located?
The Robert L Brockett is situated at the following address: 6129 W Corporate Oaks Dr, Crystal River, FL 344298732.
What is the Robert L Brockett's specialty and taxonomy code?
The Robert L Brockett's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the Robert L Brockett receive its 1730287616 assignment from the Centers for Medicare & Medicaid Services?
The Robert L Brockett was assigned its 1730287616 by the Centers for Medicare & Medicaid Services on 2006-09-21.
As of what date was the information pertaining to Robert L Brockett, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Robert L Brockett, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY