Provider Demographics
NPI:1538252002
Name:DEMBOSKI, ROBERT JOSEPH (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:DEMBOSKI
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 1:2671 FOXWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333
Mailing Address - Country:US
Mailing Address - Phone:330-865-7701
Mailing Address - Fax:
Practice Address - Street 1:525 NORTH CLEVELAND-MASSILLON ROAD
Practice Address - Street 2:SUITE 105
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-3332
Practice Address - Country:US
Practice Address - Phone:330-666-6111
Practice Address - Fax:330-666-6161
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice