Provider Demographics
NPI:1457386864
Name:SCHICK, ROBERT DREW (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DREW
Last Name:SCHICK
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 1:1007 W OAK AVE
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-4537
Mailing Address - Country:US
Mailing Address - Phone:580-255-6621
Mailing Address - Fax:580-252-7345
Practice Address - Street 1:1007 W OAK AVE
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-4537
Practice Address - Country:US
Practice Address - Phone:580-255-6621
Practice Address - Fax:580-252-7345
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK53871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice