Provider Demographics
NPI:1265438048
Name:MEISER, ROBERT B (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:MEISER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 W GATE BLVD
Mailing Address - Street 2:STE 103
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-4867
Mailing Address - Country:US
Mailing Address - Phone:512-440-1333
Mailing Address - Fax:512-440-0484
Practice Address - Street 1:6700 W GATE BLVD
Practice Address - Street 2:STE 103
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-4867
Practice Address - Country:US
Practice Address - Phone:512-440-1333
Practice Address - Fax:512-440-0484
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice