Fryer, Robert M

Fryer, Robert M is an sole proprietor health care provider with primary practice located at 5555 Peachtree Dunwoody Rd Ne Suite G56, Atlanta GA 30342-1703. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Fryer, Robert M can be contacted via phone (404) 252-5626.

Contact Information

Primary practice address
5555 Peachtree Dunwoody Rd Ne Suite G56 Atlanta GA 30342-1703
Phone: (404) 252-5626
Fax: (404) 252-9651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 8181 Georgia

Profile Details

NPI number 1104881861
LBN Legal business name Fryer, Robert M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2006
Last updated Apr 6th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104881861 NPPES
Georgia MEDICAID 300022842A
Georgia Other 850000011

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