Provider Demographics
NPI:1346372174
Name:PHILPOT, ROBERT E JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:PHILPOT
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 TERRA NOVA DR
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-5101
Mailing Address - Country:US
Mailing Address - Phone:845-227-0150
Mailing Address - Fax:
Practice Address - Street 1:15 CANAL ROAD
Practice Address - Street 2:DENT SERV
Practice Address - City:PELHAM MANOR
Practice Address - State:NY
Practice Address - Zip Code:10803-9905
Practice Address - Country:US
Practice Address - Phone:914-738-1144
Practice Address - Fax:914-738-0331
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0360171122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist