Provider Demographics
NPI:1821370578
Name:GEUNES, ROB PATRICK (DMD)
Entity Type:Individual
Prefix:
First Name:ROB
Middle Name:PATRICK
Last Name:GEUNES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5314 NW CACHE RD
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-3313
Mailing Address - Country:US
Mailing Address - Phone:580-595-9620
Mailing Address - Fax:580-595-9965
Practice Address - Street 1:5314 NW CACHE RD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-3313
Practice Address - Country:US
Practice Address - Phone:580-595-9620
Practice Address - Fax:580-595-9965
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK63231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice