Basic Information
| Provider Information | |||||||||
| NPI: | 1952455420 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEADMAN | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | BROOKS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9220 FOREST HILL AVE | ||||||||
| Address2: | SUTIE A 5 | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 23235 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8042723200 | ||||||||
| FaxNumber: | 8043305516 | ||||||||
| Practice Location | |||||||||
| Address1: | 9220 FOREST HILL AVE | ||||||||
| Address2: | SUTIE A 5 | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 23235 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8042723200 | ||||||||
| FaxNumber: | 8043305516 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/22/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | 0401004490 | VA | Y | Dental Providers | Dentist | General Practice |
No ID Information.