Robert B Davidson DDS PC

Dentist · Elburn, IL

Organization Active NPI

NPI number 1063826386

Practice location

708 N Main St
Elburn, IL 60119-9103
Phone
(630) 365-6127
Fax
(630) 365-6128

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NPI record

NPI
1063826386
Entity type
Organization (Type 2)
Enumeration date
June 14, 2014
Last updated
June 16, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.021402 IL
Customized Equipment (DME) 332BC3200X — —

Mailing address

708 N Main St
P.O. Box 8031
Elburn, IL 60119-9103
Phone
(630) 365-6127
Fax
(630) 365-6128

Authorized official

Name
Dr. Robert Bruce Davidson, D.D.S.
Title
Owner
Phone
(630) 365-6127

About Robert B Davidson DDS PC

Robert B Davidson DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 708 N Main St, Elburn, IL 60119-9103. The NPI number 1063826386 was assigned on June 14, 2014 and the record was last updated on June 16, 2014.

Robert B Davidson DDS PC lists a license in the registry: #019.021402 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Robert Bruce Davidson, D.D.S., Owner.

Frequently asked questions

What is the NPI number of Robert B Davidson DDS PC?

The NPI number is 1063826386.

What is the phone number of Robert B Davidson DDS PC?

The phone number listed for the practice location is (630) 365-6127.

Where is Robert B Davidson DDS PC located?

708 N Main St, Elburn, IL 60119-9103.

What is the taxonomy code for Robert B Davidson DDS PC?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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