Provider Demographics
NPI:1144225574
Name:ARMSTRONG, ROBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:ARMSTRONG
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 1:104 DUNCAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHEBOYGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49721-1312
Mailing Address - Country:US
Mailing Address - Phone:231-627-7172
Mailing Address - Fax:231-627-1101
Practice Address - Street 1:104 DUNCAN AVE
Practice Address - Street 2:
Practice Address - City:CHEBOYGAN
Practice Address - State:MI
Practice Address - Zip Code:49721-1312
Practice Address - Country:US
Practice Address - Phone:231-627-7172
Practice Address - Fax:231-627-1101
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-13
Last Update Date:2016-10-26
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-03-23
Provider Licenses
StateLicense IDTaxonomies
MI014934122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist