National Provider Identifier
Robert Glenn Pease Jr., DDS
Robert Glenn Pease Jr., DDS is listed in the NPPES registry with a primary specialty of Dentist in Canandaigua, NY and a listed phone number of (585) 394-8071.
Profile Overview
- NPI
- 1295746550
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- August 11, 2006
- Last Updated
- July 08, 2007
Practice Location
- 10 Brook St
- Canandaigua, NY 14424
Phone: (585) 394-8071
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1295746550
- Entity Type
- Individual
- Last Name
- Pease
- First Name
- Robert
- Middle Name
- Glenn
- Name Prefix
- Dr.
- Name Suffix
- Jr.
- Credential
- DDS
- Mailing Street Address
- 10 Brook St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424
- Mailing Country
- US
- Mailing Phone
- (585) 394-8071
- Mailing Fax
- (585) 394-8529
- Practice Street Address
- 10 Brook St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424
- Practice Country
- US
- Practice Phone
- (585) 394-8071
- Practice Fax
- (585) 394-8529
- Enumeration Date
- August 11, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)