Provider Demographics
NPI:1639280613
Name:DYE, ROBERT H (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:DYE
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 1:1505 CHAPEL HILL RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-5506
Mailing Address - Country:US
Mailing Address - Phone:573-445-8298
Mailing Address - Fax:
Practice Address - Street 1:1505 CHAPEL HILL RD
Practice Address - Street 2:SUITE 201
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-5506
Practice Address - Country:US
Practice Address - Phone:573-445-8298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0141901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice