Provider Demographics
NPI:1396066718
Name:OCHSNER, ROBERT FREDERICK (DDS)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:FREDERICK
Last Name:OCHSNER
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 1:3000 N. GARFIELD ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705
Mailing Address - Country:US
Mailing Address - Phone:432-684-5431
Mailing Address - Fax:432-684-5482
Practice Address - Street 1:3000 N. GARFIELD ST
Practice Address - Street 2:SUITE 250
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705
Practice Address - Country:US
Practice Address - Phone:432-684-5431
Practice Address - Fax:432-684-5482
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14553122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist