Provider Demographics
NPI:1518306216
Name:PATTON, ROBERT C III (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:PATTON
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:CHASE
Other - Middle Name:
Other - Last Name:PATTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:3005 FALLING LEAF CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-3549
Mailing Address - Country:US
Mailing Address - Phone:573-844-4255
Mailing Address - Fax:573-446-5118
Practice Address - Street 1:3005 FALLING LEAF CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-3549
Practice Address - Country:US
Practice Address - Phone:573-844-4255
Practice Address - Fax:573-446-5118
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013016194122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist