Individual provider · Type 1 NPI
Robert J. Prough, DDS PA
Oral and Maxillofacial Surgery (Dentist) · Stephenville, TX
NPI number
1912013103
Active
Practice location
605 Vantage Drive
Stephenville, TX 76401
Fax (254) 965-4531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D11524 (TX) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1912013103
Robert J. Prough, DDS PA's National Provider Identifier is 1912013103, issued on Aug 21, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Stephenville, TX. The record was last updated on Jul 8, 2007.