Provider Demographics
NPI:1235157058
Name:ROBERT C DOHT DDS PC
Entity Type:Organization
Organization Name:ROBERT C DOHT DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:DOHT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:631-231-8500
Mailing Address - Street 1:375 EAST MAIN ST.
Mailing Address - Street 2:SUITE 16
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706
Mailing Address - Country:US
Mailing Address - Phone:631-231-8500
Mailing Address - Fax:631-951-2307
Practice Address - Street 1:375 EAST MAIN ST.
Practice Address - Street 2:SUITE 16
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706
Practice Address - Country:US
Practice Address - Phone:631-231-8500
Practice Address - Fax:631-951-2307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
122300000X
NY0454611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty