Provider Demographics
NPI:1417172743
Name:ROBERT J. COLPITTS, D,D,S, INC.
Entity type:Organization
Organization Name:ROBERT J. COLPITTS, D,D,S, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:COLPITTS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:530-587-9095
Mailing Address - Street 1:10986 DONNER PASS RD
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96161-4838
Mailing Address - Country:US
Mailing Address - Phone:530-587-9095
Mailing Address - Fax:530-587-9120
Practice Address - Street 1:10986 DONNER PASS RD
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-4838
Practice Address - Country:US
Practice Address - Phone:530-587-9095
Practice Address - Fax:530-587-9120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27259122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty