Provider Demographics
NPI:1629026927
Name:TERAMAE, ROBERT RIKIO (DDS)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:RIKIO
Last Name:TERAMAE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 LINGLESTOWN RD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-3347
Mailing Address - Country:US
Mailing Address - Phone:717-233-4944
Mailing Address - Fax:
Practice Address - Street 1:1800 LINGLESTOWN RD
Practice Address - Street 2:SUITE 308
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-3347
Practice Address - Country:US
Practice Address - Phone:717-233-4944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA021257-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice