Provider Demographics
NPI:1548341365
Name:DREELIN, ROBERT ANDREW (DDS,PC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:ANDREW
Last Name:DREELIN
Suffix:
Gender:M
Credentials:DDS,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3834 KECOUGHTAN RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-4402
Mailing Address - Country:US
Mailing Address - Phone:757-727-7726
Mailing Address - Fax:757-727-0925
Practice Address - Street 1:3834 KECOUGHTAN RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-4402
Practice Address - Country:US
Practice Address - Phone:757-727-7726
Practice Address - Fax:757-727-0925
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010061401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice