Peak, Robert
Peak, Robert is an individual health care provider with primary practice located at 900 Jerome St Suite 140, Fort Worth TX 76104-3945. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Peak, Robert can be contacted via phone (817) 522-1833.Contact Information
Primary practice address
900 Jerome St Suite 140
Fort Worth TX 76104-3945
Phone: (817) 522-1833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 16382 | Texas |
Profile Details
| NPI number | 1235353301 |
|---|---|
| LBN Legal business name | Peak, Robert |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Dec 22nd, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235353301 | NPPES |
| Texas | Other | 85D054 | BCBS OF TX |
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