Provider Demographics
NPI:1891848727
Name:TAFEL, ROBERT E (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:TAFEL
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:PO BOX 192308
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-8517
Mailing Address - Country:US
Mailing Address - Phone:214-520-0075
Mailing Address - Fax:214-526-3483
Practice Address - Street 1:2501 N MAIN ST
Practice Address - Street 2:STE. 220
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-2052
Practice Address - Country:US
Practice Address - Phone:817-267-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX148931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice