Dr Robert Boone Outland Jr, DDS is a
Dentist based in Rich Square, North Carolina. Dr Robert Boone Outland Jr is licensed to practice in North Carolina (license number 2913) and his current practice location is
504 South Main St, Rich Square, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(252) 539-2260.
NPI number for Dr Robert Boone Outland Jr is 1912115585 and his current mailing address is Box 410, 504 South Main Street, Rich Square, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912115585.
Healthcare Provider's Profile
| Full Name | Dr Robert Boone Outland Jr |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 504 South Main St, Rich Square, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912115585
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Robert Boone Outland Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912115585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2913 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert Boone Outland Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Robert Boone Outland Jr, DDS
Box 410, 504 South Main Street,
Rich Square, NC 27869
Ph: (252) 539-2260 | Dr Robert Boone Outland Jr, DDS
504 South Main St,
Rich Square, NC 27869
Ph: (252) 539-2260 |
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