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Contact Information

ROBERT S KIDDER, DMD
4370 STARKEY RD
STE 3
ROANOKE, VA24018-0607
 Phone: 540-989-9070
 Fax: 540-989-9071
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ROBERT S KIDDER · (Male)

NPI # 1285801530
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 05/14/2008
Last updated 05/14/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0101005615
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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