Provider Demographics
NPI:1184848830
Name:ALBRIGHT, ROBERT LOUIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LOUIS
Last Name:ALBRIGHT
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 57624
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73157-7624
Mailing Address - Country:US
Mailing Address - Phone:405-412-9741
Mailing Address - Fax:
Practice Address - Street 1:1701 EAST FIRST STREET
Practice Address - Street 2:
Practice Address - City:GRANITE
Practice Address - State:OK
Practice Address - Zip Code:73547
Practice Address - Country:US
Practice Address - Phone:580-480-3715
Practice Address - Fax:580-480-3994
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK37901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice