Provider Demographics
NPI:1538359526
Name:ROBERT J. HELLMANNN, JR. D.M.D. INC.
Entity type:Organization
Organization Name:ROBERT J. HELLMANNN, JR. D.M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HELLMANN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:314-481-7656
Mailing Address - Street 1:16 HAMPTON VILLAGE PLZ
Mailing Address - Street 2:STE. 212
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-2128
Mailing Address - Country:US
Mailing Address - Phone:314-481-7656
Mailing Address - Fax:314-481-7923
Practice Address - Street 1:16 HAMPTON VILLAGE PLZ
Practice Address - Street 2:STE. 212
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-2128
Practice Address - Country:US
Practice Address - Phone:314-481-7656
Practice Address - Fax:314-481-7923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0128171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty