Robert Edward Pierce, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17449 Issued in FL

Practice address

2600 Hospital Dr
Bonifay, FL 32425-4264

Phone

(850) 502-6488

Fax

(850) 462-2430

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert E Pierce DMD PC

  • General Practice Dentistry
  • Bonifay, FL
  • NPI 1376307389
  NPD Authorized official
• Robert E Pierce, DMD, PC

  • General Practice Dentistry
  • Bonifay, FL
  • NPI 1205157294
  NPD Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1851428296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 OLD CHEMSTRAND RD UNIT 448",
            "city": "GONZALEZ",
            "state": "FL",
            "postal_code": "325607818",
            "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": "2600 HOSPITAL DR",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324254264",
            "telephone_number": "850-502-6488",
            "fax_number": "850-462-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "AL3619",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076590200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanley M Parker, D.M.D.
• Jonathan Odell Paul, ARNP-BC
• Shelia Ann Paul
• Jessica Payne, LPN
• David Penzo, LCSW
• Sandra Lesley Pierce, BS
• Summer Plass-Arnold
• Elizabeth P Pouncey
• Deborah Levens Powell, APRN
• Preferred Medical Center LLC

• 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 Feb 8, 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.