Provider Demographics
NPI:1164527867
Name:MEISTER, ROBERT CHARLES (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CHARLES
Last Name:MEISTER
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:PO BOX 8737
Mailing Address - Street 2:
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80424-9000
Mailing Address - Country:US
Mailing Address - Phone:970-389-5737
Mailing Address - Fax:970-547-9145
Practice Address - Street 1:400 NORTH PARK AVENUE
Practice Address - Street 2:12A
Practice Address - City:BRECKENRIDGE
Practice Address - State:CO
Practice Address - Zip Code:80424-9000
Practice Address - Country:US
Practice Address - Phone:303-797-6129
Practice Address - Fax:970-547-9145
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1063071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice