Provider Demographics
NPI:1962512814
Name:HAJJAR, ROBERT FRANCIS (DDS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:FRANCIS
Last Name:HAJJAR
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 1:45 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:METHVEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844
Mailing Address - Country:US
Mailing Address - Phone:978-688-7331
Mailing Address - Fax:978-688-3313
Practice Address - Street 1:45 JACKSON ST
Practice Address - Street 2:
Practice Address - City:METHVEN
Practice Address - State:MA
Practice Address - Zip Code:01844
Practice Address - Country:US
Practice Address - Phone:978-688-7331
Practice Address - Fax:978-688-3313
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9795122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist