Provider Demographics
NPI:1386874782
Name:SCHWEGLER, ROBERT CHARLES (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CHARLES
Last Name:SCHWEGLER
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:P. O. BOX 777
Mailing Address - Street 2:421 RAILROAD AVE
Mailing Address - City:ALBANY
Mailing Address - State:MN
Mailing Address - Zip Code:56307-0777
Mailing Address - Country:US
Mailing Address - Phone:320-845-2032
Mailing Address - Fax:
Practice Address - Street 1:421 RAILROAD AVE
Practice Address - Street 2:BOX 777
Practice Address - City:ALBANY
Practice Address - State:MN
Practice Address - Zip Code:56307-9458
Practice Address - Country:US
Practice Address - Phone:320-845-2032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNMN 7132122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist