Dr. Robert Blake Tandy
Periodontist
1236 Vista Verde Rd
Ukiah
, California 95482-7553
Dr. Robert Blake Tandy
Periodontist
1236 Vista Verde Rd
Ukiah
, California 95482-7553
(707) 468-0899
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Robert Blake Tandy
- 1236 Vista Verde Rd
- Ukiah, CA
- Zip : 95482-7553
- Fax : (707) 468-0899
- Phone : (707) 972-1123
Second Address
- Dr. Robert Blake Tandy
- 1236 Vista Verde Rd
- Ukiah, CA
- Zip : 95482-7553
- Fax : (707) 468-0899
- Phone : (707) 972-1123
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 20052 | CA |
National Provider Identifier
| NPI | 1043232499 |
|---|---|
| Provider Name | Dr. Robert Blake Tandy |
| First Address | Ukiah, CA 95482-7553 |
| Second Address | Ukiah, CA 95482-7553 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 01/05/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.