Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | DN 13069 | FL |
N | 204E00000X | Oral & Maxillofacial Surgeon | ME 77777 | FL |
NPI | 1033176037 |
---|---|
Provider Name | Dr. Robert Dale Gear JR. |
First Address | Fort Myers, FL 33907-7530 |
Second Address | Fort Myers, FL 33907-7530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 08/07/2007 |