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Contact Information

ROBERT B, PEAK, DDS, PLLC
900 JEROME ST
SUITE 140
FORT WORTH, TX76104-3945
 Phone: 817-205-2340
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for ROBERT B, PEAK, DDS, PLLC

NPI # 1972908309
LBN Legal business name ROBERT B, PEAK, DDS, PLLC
Authorized official HEATHER MCLAUGHLIN - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2014
Last updated 10/28/2014 - About 12 years ago
Identifiers
TX License # 16382
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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