Provider Demographics
NPI:1881932200
Name:BISCHOFF, ROBERT AUGUST (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:AUGUST
Last Name:BISCHOFF
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 1:9603 GAYTON RD STE B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23238-4964
Mailing Address - Country:US
Mailing Address - Phone:804-741-2000
Mailing Address - Fax:
Practice Address - Street 1:9603 GAYTON RD STE B
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23238-4964
Practice Address - Country:US
Practice Address - Phone:804-741-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA5486122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist