Provider Demographics
NPI:1336735299
Name:ROBERT A KALOGHIROU DDS
Entity type:Organization
Organization Name:ROBERT A KALOGHIROU DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:G
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-972-8190
Mailing Address - Street 1:2800 ENTERPRISE CV
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-9271
Mailing Address - Country:US
Mailing Address - Phone:870-972-8190
Mailing Address - Fax:870-972-9714
Practice Address - Street 1:2800 ENTERPRISE CV
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-9271
Practice Address - Country:US
Practice Address - Phone:870-972-8190
Practice Address - Fax:870-972-9714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-15
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty