Provider Demographics
NPI:1598756462
Name:DESS, ROBERT JOSEPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:DESS
Suffix:
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 1:70 W MAIN ST
Mailing Address - Street 2:STE 207
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-4224
Mailing Address - Country:US
Mailing Address - Phone:860-223-7044
Mailing Address - Fax:860-223-7905
Practice Address - Street 1:70 W MAIN ST
Practice Address - Street 2:STE 207
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-4224
Practice Address - Country:US
Practice Address - Phone:860-223-7044
Practice Address - Fax:860-223-7905
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6882122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist