Provider Demographics
NPI:1831132729
Name:PIERCE, ROBERT ALLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALLEN
Last Name:PIERCE
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 1:8615 ROSEHILL RD
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2867
Mailing Address - Country:US
Mailing Address - Phone:913-888-2882
Mailing Address - Fax:913-888-2858
Practice Address - Street 1:8615 ROSEHILL RD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-2867
Practice Address - Country:US
Practice Address - Phone:913-888-2882
Practice Address - Fax:913-888-2858
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS601921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO34516014OtherBLUE CROSS BLUE SHIELD KC
KS794482OtherUNITED CONCORDIA