Robert A Place, DDS
Individual provider Active NPI Dentist · Canton, PA
NPI 1770533135 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1770533135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS023772L (PA)
- Practice address
- 11 E Main St
Canton, PA 17724 - Phone
- (570) 673-8833
- Fax
- (570) 673-7066
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS023772L | PA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS023772L | PA | Yes |
Addresses
Primary practice location
11 E Main St
Canton, PA 17724
Mailing address
11 E Main St
Canton, PA 17724
Phone (570) 673-8833
Other providers in Canton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.