Robert W. Overdorf, DDS

General Practice Dentistry · St Charles, IL

Individual Active NPI

NPI number 1093051773

Practice location

11 S 2ND Ave
Suite 11
St Charles, IL 60174-1941
Phone
(630) 377-1200

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NPI record

NPI
1093051773
Entity type
Individual (Type 1)
Enumeration date
December 27, 2012
Last updated
December 27, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019.014949 IL

About Dr. Overdorf

Robert W. Overdorf, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 11 S 2ND Ave, Suite 11, St Charles, IL 60174-1941. The NPI number 1093051773 was assigned on December 27, 2012 and the record was last updated on December 27, 2012.

Dr. Overdorf lists a license in the registry: #019.014949 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert W. Overdorf, DDS?

The NPI number is 1093051773.

What is the phone number of Dr. Overdorf?

The phone number listed for the practice location is (630) 377-1200.

Where is Dr. Overdorf located?

11 S 2ND Ave, Suite 11, St Charles, IL 60174-1941.

What is the taxonomy code for Dr. Overdorf?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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