Provider Demographics
NPI:1881846236
Name:BAILEY, ROBEE JR (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:ROBEE
Middle Name:
Last Name:BAILEY
Suffix:JR
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6044 BAYFIELD PKWY
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-7597
Mailing Address - Country:US
Mailing Address - Phone:704-788-1873
Mailing Address - Fax:704-788-1889
Practice Address - Street 1:6044 BAYFIELD PKWY
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-7597
Practice Address - Country:US
Practice Address - Phone:704-788-1873
Practice Address - Fax:704-788-1889
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC87121223P0300X, 1223X0400X, 1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics