Provider Demographics
NPI:1174690424
Name:HENDRY, ROBERT ERNEST II (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ERNEST
Last Name:HENDRY
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:E
Other - Last Name:HENDRY
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:DMD PA
Mailing Address - Street 1:13650 METROPOLIS AVE
Mailing Address - Street 2:STE 108
Mailing Address - City:FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912
Mailing Address - Country:US
Mailing Address - Phone:239-768-5600
Mailing Address - Fax:299-768-5622
Practice Address - Street 1:13650 METROPOLIS AVE
Practice Address - Street 2:STE 108
Practice Address - City:FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912
Practice Address - Country:US
Practice Address - Phone:239-768-5600
Practice Address - Fax:299-768-5622
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11608122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist