Provider Demographics
NPI:1710134168
Name:TESTO, ROBERT A (DDS)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:TESTO
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 1:297-299 HAMILTON STREET
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12210-1707
Mailing Address - Country:US
Mailing Address - Phone:518-463-2262
Mailing Address - Fax:518-463-2263
Practice Address - Street 1:297-299 HAMILTON STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12210-1707
Practice Address - Country:US
Practice Address - Phone:518-463-2262
Practice Address - Fax:518-463-2263
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033832122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist