Provider Demographics
NPI:1356471932
Name:PASSLOFF, ROBERT W (DMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:PASSLOFF
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 1:154 HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780
Mailing Address - Country:US
Mailing Address - Phone:508-880-0801
Mailing Address - Fax:508-880-9180
Practice Address - Street 1:154 HIGH STREET
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780
Practice Address - Country:US
Practice Address - Phone:508-880-0801
Practice Address - Fax:508-880-9180
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA171941223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics