Robert E Pierce, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROBERT E PIERCE, DMD, PC

Practice address

Doctor'S Memorial Hospital
2600 Hospital Dr Dept of Surgery
Bonifay, FL 32425-4264

Phone

(850) 502-0011

Fax

(251) 217-9070

NPI assigned

Jun 14, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Edward Pierce, DMDNPI 1851428296

Title

Pres/Owner

Phone

(850) 502-0011

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Edward Pierce, DMD

  • General Practice Dentistry
  • Bonifay, FL
  • NPI 1851428296
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1205157294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 OLD CHEMSTRAND RD #448",
            "city": "GONZALEZ",
            "state": "FL",
            "postal_code": "325607806",
            "telephone_number": "850-502-6488",
            "fax_number": "850-462-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOCTOR'S MEMORIAL HOSPITAL",
            "address_2": "2600 HOSPITAL DR DEPT OF SURGERY",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324254264",
            "telephone_number": "850-502-0011",
            "fax_number": "251-217-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E PIERCE, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "850-502-0011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118421200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076590200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Patricia Rudd
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• Rhonda L Serpas, LMT
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• General Practice Dentistry in Bonifay, FL
• Providers in Bonifay, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.