Provider Demographics
NPI:1760605331
Name:HARING, ROBERT (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:HARING
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N HIGH ST
Mailing Address - Street 2:STE. D
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-2155
Mailing Address - Country:US
Mailing Address - Phone:614-761-3361
Mailing Address - Fax:614-761-3398
Practice Address - Street 1:100 N HIGH ST
Practice Address - Street 2:STE. D
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-2155
Practice Address - Country:US
Practice Address - Phone:614-761-3361
Practice Address - Fax:614-761-3398
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH18454122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0822284Medicaid