Provider Demographics
NPI:1194808360
Name:GEHRIG, ROBERT D (DMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:GEHRIG
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 1:1405 S 25TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34947-4700
Mailing Address - Country:US
Mailing Address - Phone:772-465-4545
Mailing Address - Fax:772-465-5869
Practice Address - Street 1:1405 S 25TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34947-4700
Practice Address - Country:US
Practice Address - Phone:772-465-4545
Practice Address - Fax:772-465-5869
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN85241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT94113Medicare UPIN