Provider Demographics
NPI:1780813501
Name:BIEHL, ROBERT L (DMD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:BIEHL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:L
Other - Last Name:BIEHL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:515 7TH AVE
Mailing Address - Street 2:STE 220
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-4933
Mailing Address - Country:US
Mailing Address - Phone:907-452-8296
Mailing Address - Fax:907-452-8298
Practice Address - Street 1:515 7TH AVE
Practice Address - Street 2:STE 220
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4933
Practice Address - Country:US
Practice Address - Phone:907-452-8296
Practice Address - Fax:907-452-8298
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6433-15122300000X
AKAA744122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist