Provider Demographics
NPI:1295160976
Name:SASSER, ROBERT HUGH JR (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HUGH
Last Name:SASSER
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:BOBBY
Other - Middle Name:H
Other - Last Name:SASSER
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:423 INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:SANDERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31082-0000
Mailing Address - Country:US
Mailing Address - Phone:478-553-2402
Mailing Address - Fax:
Practice Address - Street 1:423 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:SANDERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31082-7015
Practice Address - Country:US
Practice Address - Phone:478-553-2402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6370122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist