Provider Demographics
NPI:1669792966
Name:BLOCK, ROBERT MICHAEL (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MICHAEL
Last Name:BLOCK
Suffix:
Gender:M
Credentials:DDS, MS
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Other - First Name:
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Mailing Address - Street 1:451 MURFREESBORO RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-2842
Mailing Address - Country:US
Mailing Address - Phone:615-256-7543
Mailing Address - Fax:615-256-8895
Practice Address - Street 1:5958 SNOW HILL RD STE 144
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-7834
Practice Address - Country:US
Practice Address - Phone:615-636-8553
Practice Address - Fax:423-894-4086
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNDS47411223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics