Provider Demographics
NPI:1730400326
Name:KALOGHIROU, ROBERT ANDREAS
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANDREAS
Last Name:KALOGHIROU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 ENTERPRISE CV
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-9271
Mailing Address - Country:US
Mailing Address - Phone:870-972-8190
Mailing Address - Fax:
Practice Address - Street 1:2800 ENTERPRISE CV
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-9271
Practice Address - Country:US
Practice Address - Phone:870-972-8190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3776122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice