National Provider Identifier
Robert A. Vaneenwyk, D.D.S.
Robert A. Vaneenwyk, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Bergen, NY and a listed phone number of (585) 494-1145.
Profile Overview
- NPI
- 1154478253
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- January 04, 2007
- Last Updated
- July 08, 2007
Practice Location
- 26 S Lake Ave
- Bergen, NY 14416-9734
Phone: (585) 494-1145
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1154478253
- Entity Type
- Individual
- Last Name
- Vaneenwyk
- First Name
- Robert
- Middle Name
- A.
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 26 S Lake Ave
- Mailing City
- Bergen
- Mailing State
- NY
- Mailing ZIP Code
- 14416-9734
- Mailing Country
- US
- Mailing Phone
- (585) 494-1145
- Practice Street Address
- 26 S Lake Ave
- Practice City
- Bergen
- Practice State
- NY
- Practice ZIP Code
- 14416-9734
- Practice Country
- US
- Practice Phone
- (585) 494-1145
- Enumeration Date
- January 04, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)