Provider Demographics
NPI:1710394432
Name:DAVIS, ROBERT TROUP JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TROUP
Last Name:DAVIS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5185 CASTELLO DR
Mailing Address - Street 2:STE 1
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-8903
Mailing Address - Country:US
Mailing Address - Phone:239-262-1404
Mailing Address - Fax:239-262-1158
Practice Address - Street 1:5185 CASTELLO DR
Practice Address - Street 2:STE 1
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-8903
Practice Address - Country:US
Practice Address - Phone:239-262-1404
Practice Address - Fax:239-262-1158
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN156121223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics