Robert Fletcher, PLLC
Organization Active NPI General Practice Dentistry · Kenedy, TX
NPI 1265890362 · NPPES record last updated Feb 3, 2016
Key facts
- NPI
- 1265890362
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ROBERT FLETCHER, PLLC
- Practice address
- 131 Business Park Blvd Ste 600
Kenedy, TX 78119-3512 - Phone
- (830) 299-3848
- Fax
- (830) 299-3859
- NPI assigned
- Feb 3, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert Fletcher, D.D.S.
- Title
- Dentist Owner
- Phone
- (830) 299-3848
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
131 Business Park Blvd Ste 600
Kenedy, TX 78119-3512
Mailing address
131 Business Park Blvd Ste 600
Kenedy, TX 78119-3512
Phone (830) 299-3848
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578878559 | Medicaid | TX |
Other names
- Kenedy Family Dental
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All providers in Kenedy, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.