ROBERT L DORNBOS


Address: 102 S Main St, Vicksburg, MI 49097-1211
Phone: 2696492067

ROBERT L DORNBOS (NPI# 1982684916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982684916
Entity Type Individual
Full Name ROBERT L DORNBOS
Credential DDS
Practice Address 102 S Main St
Vicksburg
MI 49097-1211
Practice Telephone 2696492067
Practice Fax Number 2696492605
Mailing Telephone 2696492067
Mailing Fax Number 2696492605
Enumeration Date 2006-01-17
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
11549 MI Dental Providers

Office Location

Street Address 102 S MAIN ST
City VICKSBURG
State MI
Zip Code 49097-1211

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912132168 Jo Lynne Kirchhoff Pharmacist 110 S. Main Streets, Vicksburg, MI 49097 2009-05-18
1558429605 Ellen Marie Tavarone Dentist 602 West Prairie St, Vicksburg, MI 49097 2006-12-04
1598875601 Robert L Dornbos Dds PC Dentist 102 S Main, Vicksburg, MI 49097 2006-08-30
1982680468 Freds Super Pharmacy Inc Pharmacy 121 W Prairie St, Vicksburg, MI 49097 2005-12-16
1477853422 South County Home Health Providers Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 115 N 3rd St, Vicksburg, MI 49097-1017 2010-10-25
1023214921 Aaron C Ford Dentist 602 W Prairie St, Vicksburg, MI 49097-1178 2007-06-26
1154573392 Family & Children Services, Inc. Clinic/Center 101 S Main St, Vicksburg, MI 49097-1210 2008-10-21
1144756610 Pamela Hendershot Pharmacist 110 S Main St, Vicksburg, MI 49097-1211 2017-05-03
1598990525 Kelly Ann Soekarmoen Pharmacist 110 S Main St, Vicksburg, MI 49097-1211 2009-05-19
1184670085 Hill's Pharmacy of Vicksburg, Inc. Pharmacy 110 S Main St, Vicksburg, MI 49097-1211 2006-05-25
Find all providers in zip 49097

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649626573 Vicksburg Family Dental 61n Dentist 1650 Highway 61 N, Vicksburg, MS 39183-3522 2016-05-10
1982952115 Jordan P Crocker Dentist 109 Monument Pl, Vicksburg, MS 39180-5161 2012-08-20
1922217314 Austin Family Dentistry Dentist 3040 Indiana Ave, Vicksburg, MS 39180 2007-05-22
1992910244 Kurt R Schrock I Dentist 1903 Mission 66, Vicksburg, MS 39180-3711 2007-05-11
1649492695 Charles Brent Thomas Dentist 1805 Mission 66, Vicksburg, MS 39180-3709 2007-05-02
1962523944 Robert M Abraham, D.d.s., P.a. Dentist 1909 Mission 66, Vicksburg, MS 39180-3711 2007-04-03
1760500649 Donald William Jackson Dentist 1909 A Mission 66, Vicksburg, MS 39180-3711 2007-03-27
1891812731 Lemont Terrance Norris Dentist 1713 Clay St, Ste 5, Vicksburg, MS 39183-3048 2007-03-24
1366582413 Robert A Sadler Dentist 1016 Mission 66, Vicksburg, MS 39183-2752 2007-02-07
1821150194 Martin V Chaney Dentist 3205 Wisconsin Ave, Vicksburg, MS 39180-5350 2006-12-14
Find all providers in VICKSBURG

Competitor

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City VICKSBURG
Zip Code 49097

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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