Provider Demographics
NPI:1922399450
Name:ROBERTSON, NEIL ANDREW (DMD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:ANDREW
Last Name:ROBERTSON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:5820 CENTRE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3710
Mailing Address - Country:US
Mailing Address - Phone:412-661-7690
Mailing Address - Fax:412-661-7695
Practice Address - Street 1:5820 CENTRE AVE STE 200
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206
Practice Address - Country:US
Practice Address - Phone:412-661-7690
Practice Address - Fax:412-661-7695
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2019-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PADS0392381223S0112X, 204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery