Robert T. Dewar, DDS., PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

11306 Issued in MO

Legal business name

ROBERT T. DEWAR, DDS., PC

Practice address

1704 N Robberson Ave
Springfield, MO 65803-2845

Phone

(417) 869-6055

Fax

(417) 869-4269

NPI assigned

Jul 20, 2016

Last updated

Jul 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert T Dewar, DDSNPI 1043369689

Title

Owner

Phone

(417) 869-6055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert T. Dewar, DDS

  • General Practice Dentistry
  • Springfield, MO
  • NPI 1043369689
  NPD (past) Authorized official

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1487007845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 N ROBBERSON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658032845",
            "telephone_number": "417-869-6055",
            "fax_number": "417-869-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 N ROBBERSON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658032845",
            "telephone_number": "417-869-6055",
            "fax_number": "417-869-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT T. DEWAR, DDS., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "DEWAR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-869-6055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": "11306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Carol Robbins, MD
• Stephanie J Robbins, MS, LPC
• Robert a Carter DC PC (Camelot Chiropractic Care)
• Robert Jason Grant Ed.D Autplay Therapy Clinic
• Robert L. Dubinick, DC, PC
• Anne Elizabeth Roberts, M.D.
• Donna M Roberts, MD
• Megan Ann-Melugin Roberts, PT, DPT
• Nancy Ellen Roberts, N.P.
• Nathan Roberts, M.D.

• Preferred Provider Organization in Springfield, MO
• Providers in Springfield, MO by specialty
• Preferred Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.