Provider Demographics
NPI:1518366160
Name:SPEARS, ROBERT JAMES JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JAMES
Last Name:SPEARS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9235 LAKE FOREST BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-3043
Mailing Address - Country:US
Mailing Address - Phone:504-241-8214
Mailing Address - Fax:504-241-2246
Practice Address - Street 1:9235 LAKE FOREST BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-3043
Practice Address - Country:US
Practice Address - Phone:504-241-8214
Practice Address - Fax:504-241-2246
Is Sole Proprietor?:No
Enumeration Date:2014-08-20
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA65051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice