Provider Demographics
NPI:1285964213
Name:PATTERSON, ROBERT E (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:3033 N WINDSONG DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-2290
Mailing Address - Country:US
Mailing Address - Phone:928-772-7353
Mailing Address - Fax:928-775-4420
Practice Address - Street 1:3033 N WINDSONG DR
Practice Address - Street 2:SUITE 201
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-2290
Practice Address - Country:US
Practice Address - Phone:928-772-7353
Practice Address - Fax:928-775-4420
Is Sole Proprietor?:No
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZD78811223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics