Provider Demographics
NPI:1881382802
Name:RPB PEDIATRIC DENTISTRY PA
Entity type:Organization
Organization Name:RPB PEDIATRIC DENTISTRY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DREW
Authorized Official - Middle Name:
Authorized Official - Last Name:POPPER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:203-415-6875
Mailing Address - Street 1:1019 N STATE ROAD 7 STE A
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-5100
Mailing Address - Country:US
Mailing Address - Phone:561-337-9333
Mailing Address - Fax:
Practice Address - Street 1:1019 N STATE ROAD 7 STE A
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-5100
Practice Address - Country:US
Practice Address - Phone:561-337-9333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty