Provider Demographics
NPI:1285747394
Name:SEARS, ROBERT EARL (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EARL
Last Name:SEARS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 NE MUSTANG DR
Mailing Address - Street 2:
Mailing Address - City:ANDREWS
Mailing Address - State:TX
Mailing Address - Zip Code:79714-3640
Mailing Address - Country:US
Mailing Address - Phone:432-523-5405
Mailing Address - Fax:432-523-6605
Practice Address - Street 1:1717 NE MUSTANG DR
Practice Address - Street 2:
Practice Address - City:ANDREWS
Practice Address - State:TX
Practice Address - Zip Code:79714-3640
Practice Address - Country:US
Practice Address - Phone:432-523-5405
Practice Address - Fax:432-523-6605
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10737122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist