Provider Demographics
NPI:1336258011
Name:PIPOSAR, ROBERT A (DMD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:PIPOSAR
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 1:5900 CORPORATE DRIVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-7004
Mailing Address - Country:US
Mailing Address - Phone:412-847-1420
Mailing Address - Fax:412-847-1422
Practice Address - Street 1:5900 CORPORATE DRIVE
Practice Address - Street 2:SUITE 220
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-7004
Practice Address - Country:US
Practice Address - Phone:412-847-1420
Practice Address - Fax:412-847-1422
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAD5021730-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist