Henry, Robert Frank

Henry, Robert Frank is an sole proprietor health care provider with primary practice located at 421 G St , Forks WA 98331-9025. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Henry, Robert Frank can be contacted via phone (360) 374-2288.

Contact Information

Primary practice address
421 G St Forks WA 98331-9025
Fax: (360) 374-2271
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00004934 Washington

Profile Details

NPI number 1548310915
LBN Legal business name Henry, Robert Frank
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Jul 9th, 2007 - about 18 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 1548310915 NPPES
Washington Other 5524004 WA DENTAL SERVICE
Washington MEDICAID 55240-04 WA DENTAL SERVICE

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