Provider Demographics
NPI:1578921045
Name:GEORGE, ROBBY THOMAS (DDS,MDS)
Entity Type:Individual
Prefix:DR
First Name:ROBBY
Middle Name:THOMAS
Last Name:GEORGE
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Gender:M
Credentials:DDS,MDS
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Mailing Address - Street 1:625 ELMWOOD AVE
Mailing Address - Street 2:BOX 683
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-2913
Mailing Address - Country:US
Mailing Address - Phone:585-275-5007
Mailing Address - Fax:585-756-5577
Practice Address - Street 1:625 ELMWOOD AVE
Practice Address - Street 2:BOX 683
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-2913
Practice Address - Country:US
Practice Address - Phone:585-275-5007
Practice Address - Fax:585-756-5577
Is Sole Proprietor?:No
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0000641223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry