Dr Robert John Mora, DDS is a
Student In An Organized Health Care Education/training Program based in Lincoln Park, Michigan. Dr Robert John Mora is licensed to practice in * (Not Available) (license number ) and his current practice location is
4009 Fort St, Lincoln Park, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 928-8555.
NPI number for Dr Robert John Mora is 1417704156 and his current mailing address is 525 Cascade Ave, Fenton, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417704156.
Healthcare Provider's Profile
| Full Name | Dr Robert John Mora |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 4009 Fort St, Lincoln Park, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417704156
- Provider Enumeration Date: 05/01/2024
- Last Update Date: 06/24/2024
Medical Identifiers
Medical identifiers for Dr Robert John Mora such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417704156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 2901602186 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 John Mora 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 John Mora, DDS
525 Cascade Ave,
Fenton, MI 48430-3013
Ph: (810) 579-6408 | Dr Robert John Mora, DDS
4009 Fort St,
Lincoln Park, MI 48146-4110
Ph: (313) 928-8555 |
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