Provider Demographics
NPI:1881764330
Name:ROBERT D. TESTEN, DDS PC
Entity type:Organization
Organization Name:ROBERT D. TESTEN, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:TESTEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-540-5757
Mailing Address - Street 1:20500 SENECA MEADOWS PKWY
Mailing Address - Street 2:# 2300
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-7008
Mailing Address - Country:US
Mailing Address - Phone:301-540-5757
Mailing Address - Fax:301-540-2477
Practice Address - Street 1:20500 SENECA MEADOWS PKWY
Practice Address - Street 2:# 2300
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-7008
Practice Address - Country:US
Practice Address - Phone:301-540-5757
Practice Address - Fax:301-540-2477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD117481223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty