Provider Demographics
NPI:1477561967
Name:MCGRAW, ROBERT PAUL JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PAUL
Last Name:MCGRAW
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:R
Other - Middle Name:PAUL
Other - Last Name:MCGRAW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4731 S COCHISE DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-6974
Mailing Address - Country:US
Mailing Address - Phone:816-632-6700
Mailing Address - Fax:816-632-6702
Practice Address - Street 1:417 NORTHLAND DR
Practice Address - Street 2:
Practice Address - City:CAMERON
Practice Address - State:MO
Practice Address - Zip Code:64429-1344
Practice Address - Country:US
Practice Address - Phone:816-632-6700
Practice Address - Fax:816-632-6702
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO131291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice