Provider Demographics
NPI:1437129962
Name:PEYTON, ROBERT W (DDS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:W
Last Name:PEYTON
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 1:6206 168TH ST SW
Mailing Address - Street 2:STE C
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-2749
Mailing Address - Country:US
Mailing Address - Phone:425-742-9609
Mailing Address - Fax:425-742-9519
Practice Address - Street 1:6206 168TH ST SW
Practice Address - Street 2:STE C
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-2749
Practice Address - Country:US
Practice Address - Phone:425-742-9609
Practice Address - Fax:425-742-9519
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA46631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice