Provider Demographics
NPI:1134175342
Name:PRIOR, ROBERT F (DMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:PRIOR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22951 CATTAIL LANE
Mailing Address - Street 2:
Mailing Address - City:CALIFORNIA
Mailing Address - State:MD
Mailing Address - Zip Code:20619
Mailing Address - Country:US
Mailing Address - Phone:301-737-1724
Mailing Address - Fax:301-737-1941
Practice Address - Street 1:22738 MAPLE RD
Practice Address - Street 2:SUITE 214
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-3347
Practice Address - Country:US
Practice Address - Phone:301-862-3227
Practice Address - Fax:301-862-3385
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD78551223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics