Provider Demographics
NPI:1427194778
Name:SLOSS, ROBERT JAMES (DMD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JAMES
Last Name:SLOSS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 LOGAN AVE
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686
Mailing Address - Country:US
Mailing Address - Phone:814-684-4170
Mailing Address - Fax:814-684-4426
Practice Address - Street 1:1006 LOGAN AVE
Practice Address - Street 2:
Practice Address - City:TYRONE
Practice Address - State:PA
Practice Address - Zip Code:16686
Practice Address - Country:US
Practice Address - Phone:814-684-4170
Practice Address - Fax:814-684-4426
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0195081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice