Provider Demographics
NPI:1992822696
Name:ENGELMEIER, ROBERT LEO (DMD,MS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LEO
Last Name:ENGELMEIER
Suffix:
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 1:2416 BEAR RUN DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-1480
Mailing Address - Country:US
Mailing Address - Phone:412-648-8675
Mailing Address - Fax:412-648-8850
Practice Address - Street 1:3501 TERRACE ST
Practice Address - Street 2:SALK HALL ANNEX 2025
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2523
Practice Address - Country:US
Practice Address - Phone:412-648-8675
Practice Address - Fax:412-648-8850
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX173311223P0700X
PA172091223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics