NPI 1144585605

Robert Harris Range, DDS

Practitioner Dentist Apo, AA

Practice location

Address: US Army Fort Drum Stone Dental Clinic 10590 Enduring Freedom Drive, Apo, AA 13602
Phone: (315) 772-5576

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 059481 (NY)

Other Dentist providers in Armed Forces Americas →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 62737 (CA)

Registry record

NPI: 1144585605
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2012
Record last updated: 13 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.