Provider Demographics
NPI:1245362516
Name:BLOCK, ROBERT E (DMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:BLOCK
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 1:2218 11TH ST # 222
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-3139
Mailing Address - Country:US
Mailing Address - Phone:440-382-1630
Mailing Address - Fax:440-946-6221
Practice Address - Street 1:34920 RIDGE RD STE 222
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4190
Practice Address - Country:US
Practice Address - Phone:440-946-7330
Practice Address - Fax:440-946-6221
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0172241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice