Provider Demographics
NPI:1760651475
Name:TRULY, ROBERT E (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:TRULY
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 1:1805 W. WHITE OAK TERRACE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-3590
Mailing Address - Country:US
Mailing Address - Phone:936-588-4433
Mailing Address - Fax:936-588-4603
Practice Address - Street 1:1805 W. WHITE OAK TERRACE
Practice Address - Street 2:SUITE A
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-3590
Practice Address - Country:US
Practice Address - Phone:936-588-4433
Practice Address - Fax:936-588-4603
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7156122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1732250137OtherCOMMERCIAL INSURANCE