Provider Demographics
NPI:1770671729
Name:CARUSO, ROBERT ANTHONY JR (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANTHONY
Last Name:CARUSO
Suffix:JR
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:55 STEEPLECHASE DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5713
Mailing Address - Country:US
Mailing Address - Phone:215-489-7720
Mailing Address - Fax:
Practice Address - Street 1:310 WEST BUTLER AVE
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:PA
Practice Address - Zip Code:18901
Practice Address - Country:US
Practice Address - Phone:215-348-5570
Practice Address - Fax:215-348-5572
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028067L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics