Provider Demographics
NPI:1447924295
Name:STELJES, ROBERT EARL (DMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EARL
Last Name:STELJES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:ROBBIE
Other - Middle Name:
Other - Last Name:STELJES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1614 OLD MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-2628
Mailing Address - Country:US
Mailing Address - Phone:704-942-6303
Mailing Address - Fax:
Practice Address - Street 1:124 WAGNER ST
Practice Address - Street 2:
Practice Address - City:TROUTMAN
Practice Address - State:NC
Practice Address - Zip Code:28166
Practice Address - Country:US
Practice Address - Phone:704-528-9811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC123891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice