Funk, Robert Dallas

Funk, Robert Dallas is an individual health care provider with primary practice located at 12 Penns Trail Suite 154, Newtown PA 18940-3438. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Funk, Robert Dallas can be contacted via phone (215) 675-3005.

Contact Information

Primary practice address
12 Penns Trail Suite 154 Newtown PA 18940-3438
Phone: (215) 675-3005
Fax: (888) 662-0859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS024103L Pennsylvania

Profile Details

NPI number 1184720260
LBN Legal business name Funk, Robert Dallas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Mar 13th, 2013 - about 12 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 1184720260 NPPES
Pennsylvania MEDICAID 0012633650007

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