Provider Demographics
NPI:1700912888
Name:TROISE, ROBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:TROISE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 WILLOW SPRING DR
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-1008
Mailing Address - Country:US
Mailing Address - Phone:410-693-2499
Mailing Address - Fax:
Practice Address - Street 1:4710 AUTH PL
Practice Address - Street 2:SUITE 490
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-4223
Practice Address - Country:US
Practice Address - Phone:301-899-1188
Practice Address - Fax:301-899-2861
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD67751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice