Provider Demographics
NPI:1285808600
Name:TREON, ROBERT JOSEPH (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:TREON
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 1:2200 W BETHANY HOME RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-1997
Mailing Address - Country:US
Mailing Address - Phone:602-242-3284
Mailing Address - Fax:
Practice Address - Street 1:2200 W BETHANY HOME RD
Practice Address - Street 2:SUITE 10
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-1997
Practice Address - Country:US
Practice Address - Phone:602-242-3284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7227122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist