Provider Demographics
NPI:1316143357
Name:FUHRMAN, ROBERT M (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:FUHRMAN
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:3532 JERSEY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-2223
Mailing Address - Country:US
Mailing Address - Phone:563-359-8273
Mailing Address - Fax:563-359-0454
Practice Address - Street 1:3532 JERSEY RIDGE RD
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-2223
Practice Address - Country:US
Practice Address - Phone:563-359-8273
Practice Address - Fax:563-359-0454
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA082701223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics