Provider Demographics
NPI:1629252481
Name:ERHARD, ROBERT W (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:ERHARD
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 1:310 N. CLIPPERT SUITE #2
Mailing Address - Street 2:R W ERHARD DDS
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912
Mailing Address - Country:US
Mailing Address - Phone:517-351-2146
Mailing Address - Fax:517-351-8641
Practice Address - Street 1:310 N CLIPPERT ST
Practice Address - Street 2:SUITE #2
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-4694
Practice Address - Country:US
Practice Address - Phone:517-351-2146
Practice Address - Fax:517-351-8641
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI16062122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist