Provider Demographics
NPI:1720677818
Name:RBO ENTERPRISE LLC
Entity Type:Organization
Organization Name:RBO ENTERPRISE LLC
Other - Org Name:REULAND AND BARNHART ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:REULAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-535-7886
Mailing Address - Street 1:3603 OLD JACKSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-8512
Mailing Address - Country:US
Mailing Address - Phone:903-535-7886
Mailing Address - Fax:
Practice Address - Street 1:3603 OLD JACKSONVILLE RD
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-8512
Practice Address - Country:US
Practice Address - Phone:903-535-7886
Practice Address - Fax:903-535-7791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty