Provider Demographics
NPI:1447547336
Name:ROBERT W. VON DOHLEN, D.D.S., P.C.
Entity type:Organization
Organization Name:ROBERT W. VON DOHLEN, D.D.S., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WERNER
Authorized Official - Last Name:VON DOHLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-887-4343
Mailing Address - Street 1:700 N ELM ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3930
Mailing Address - Country:US
Mailing Address - Phone:336-887-4343
Mailing Address - Fax:336-887-3270
Practice Address - Street 1:700 N ELM ST
Practice Address - Street 2:SUITE 102
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3930
Practice Address - Country:US
Practice Address - Phone:336-887-4343
Practice Address - Fax:336-887-3270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC54291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty