Provider Demographics
NPI:1730204074
Name:DIGIORGIO, ROBERT M (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:DIGIORGIO
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 1:11027 S PIKES PEAK DR
Mailing Address - Street 2:STE 105
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7356
Mailing Address - Country:US
Mailing Address - Phone:303-699-6100
Mailing Address - Fax:303-617-1363
Practice Address - Street 1:11027 S PIKES PEAK DR
Practice Address - Street 2:STE 105
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7356
Practice Address - Country:US
Practice Address - Phone:303-699-6100
Practice Address - Fax:303-617-1363
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COH-D-1-046671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
COH-D-1-04667OtherLISENCE TO PRACTICE DENTI
COH-D-1-04667OtherLISENCE TO PRACTICE DENTI