Provider Demographics
NPI:1003993700
Name:DASCHBACH, ROBERT L (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:DASCHBACH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 HARLEYSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-2100
Mailing Address - Country:US
Mailing Address - Phone:215-721-8811
Mailing Address - Fax:215-721-5393
Practice Address - Street 1:390 HARLEYSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-2100
Practice Address - Country:US
Practice Address - Phone:215-721-8811
Practice Address - Fax:215-721-5393
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADSO23360-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice