Provider Demographics
NPI:1285451633
Name:DENT, ROBERT (RECOVERY COACH/PEER)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:DENT
Suffix:
Gender:M
Credentials:RECOVERY COACH/PEER
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:
Other - Last Name:DENT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:57 GALVESTON ST SW APT 201
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-1972
Mailing Address - Country:US
Mailing Address - Phone:202-520-9126
Mailing Address - Fax:
Practice Address - Street 1:920 BELLEVUE ST SE # 201
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-6030
Practice Address - Country:US
Practice Address - Phone:202-520-9126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC0032-D196175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist