Dr. Robert P Fields
Orthodontists
2580 Country Side Dr
Orange Park
, Florida 32003-4949
Dr. Robert P Fields
Orthodontists
2580 Country Side Dr
Orange Park
, Florida 32003-4949
(904) 269-4715
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Robert P Fields
- 2580 Country Side Dr
- Orange Park, FL
- Zip : 32003-4949
- Phone : (904) 269-4715
Second Address
- Dr. Robert P Fields
- 2580 Country Side Dr
- Orange Park, FL
- Zip : 32003-4949
- Phone : (904) 269-4715
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | DN9428 | FL |
National Provider Identifier
| NPI | 1023127370 |
|---|---|
| Provider Name | Dr. Robert P Fields |
| First Address | Orange Park, FL 32003-4949 |
| Second Address | Orange Park, FL 32003-4949 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 19/06/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 59-3250538 | TAX ID (01) | FL |
| DN9428 | STATE LICENSE (01) | FL |
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.