Provider Demographics
NPI:1154411429
Name:TURCHIN, ROBERT HOWARD (DMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HOWARD
Last Name:TURCHIN
Suffix:
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 1:1528 WALNUT ST STE 1704
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-3612
Mailing Address - Country:US
Mailing Address - Phone:215-546-0707
Mailing Address - Fax:215-546-4098
Practice Address - Street 1:1528 WALNUT ST STE 1704
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-3612
Practice Address - Country:US
Practice Address - Phone:215-546-0707
Practice Address - Fax:215-546-4098
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS 022851 L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice