Provider Demographics
NPI:1912116575
Name:ROBERT W. MIER, DDS, LTD
Entity Type:Organization
Organization Name:ROBERT W. MIER, DDS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:MIER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:401-821-6500
Mailing Address - Street 1:80 QUAKER LN
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-0111
Mailing Address - Country:US
Mailing Address - Phone:401-821-6500
Mailing Address - Fax:401-823-8270
Practice Address - Street 1:80 QUAKER LN
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-0111
Practice Address - Country:US
Practice Address - Phone:401-821-6500
Practice Address - Fax:401-823-8270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDNT2122122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty