ROBERT SCHROETLIN (NPI# 1740511344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740511344 |
| Entity Type | Individual |
| Full Name | ROBERT SCHROETLIN |
| Credential | DDS, FACP |
| Practice Address |
1215 E 6th St Moscow ID 83843-3705 |
| Mailing Address |
2350 3rd Ave Clarkston WA 99403-1315 |
| Practice Telephone | 2088826570 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2012-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
DE00010231 | WA | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
D9413 | OR | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
D-4284 | ID | Dental Providers |
| Street Address |
1215 E 6TH ST |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326167024 | James Wilmer Garrett | Dentist | 1215 E 6th St, Moscow, ID 83843-3705 | 2007-03-27 |
| 1861057622 | Jaimie Erickson | Dentist | 1215 E 6th St, Moscow, ID 83843-3705 | 2019-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275736522 | Idaho Prosthodontics | Dentist | 347 Crooked Ear Ct, Sandpoint, ID 83864-9477 | 2007-06-06 |
| 1043221393 | Linda Jean Ruppel | Dentist | 7669 Emerald St, Boise, ID 83704-9018 | 2006-08-11 |
| 1790049286 | Michael Lynn Gurney | Dentist | 1000 N Curtis Rd, Suite 203, Boise, ID 83706-1337 | 2012-06-28 |
| 1710147087 | Darrel and Roseann Mooney | Dentist | 1323 Michigan St, Sandpoint, ID 83864-1747 | 2008-06-11 |
| 1144232869 | Darrel L Mooney | Dentist | 314 W Bannock St, Boise, ID 83702-6032 | 2006-08-12 |
| 1578588364 | Braden M Stauts | Dentist | 1000 N Curtis Rd, Suite 203, Boise, ID 83706-1337 | 2006-07-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.