Provider Demographics
NPI:1063899102
Name:PIERRE, ROBERT DONALD II (DMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DONALD
Last Name:PIERRE
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 STARSTONE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-6317
Mailing Address - Country:US
Mailing Address - Phone:407-754-7652
Mailing Address - Fax:
Practice Address - Street 1:1528 RINEHART RD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-7497
Practice Address - Country:US
Practice Address - Phone:407-792-3987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-28
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 20627122300000X
FL206271223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist