Provider Demographics
NPI:1003058421
Name:DEBES, ROBERT RANDOLPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:RANDOLPH
Last Name:DEBES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6516 M D ANDERSON BLVD
Mailing Address - Street 2:STE. 2.059
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3402
Mailing Address - Country:US
Mailing Address - Phone:713-500-4125
Mailing Address - Fax:713-500-4333
Practice Address - Street 1:6516 M D ANDERSON BLVD
Practice Address - Street 2:STE. 2.059
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3402
Practice Address - Country:US
Practice Address - Phone:713-500-4125
Practice Address - Fax:713-500-4333
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57341223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery