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Dr. Robert J Prough, DDSPA
Oral and Maxillofacial Surgery (Dentist) in Stephenville, Texas
NPI 1912013103

Robert J Prough is a Oral and Maxillofacial Surgery (Dentist) based in Stephenville, TX and is specialized in Oral and Maxillofacial Surgery. Robert J Prough practices in Stephenville, TX and has the professional credentials of DDSPA. The NPI Number for Robert J Prough is 1912013103 and holds a License No. D11524 (Texas).

The current practice location address for Robert J Prough is 605 Vantage Drive, Stephenville, TX and can be reached out via phone at 254-965-2541 and via fax at 254-965-4531.

Location: 605 Vantage Drive, Stephenville, TX, 76401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912013103
Provider Name
Robert J Prough
Credential
DDSPA
Provider Entity Type
Individual
Gender
Male
Address
605 Vantage Drive, Stephenville, TX, 76401
Phone Number
254-965-2541
Fax Number
254-965-4531
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
759508 01 TX UNITED CONCORDIA PROVIDER
institution
Provider Business Practice Location Address Details
Address
605 Vantage Drive
City
Stephenville
State
Texas
Zip
76401
Phone Number
254-965-2541
Fax Number
254-965-4531
person
Provider Business Mailing Address Details
Address
605 Vantage Drive
City
Stephenville
State
Texas
Zip
76401
Phone Number
254-965-2541
Fax Number
254-965-4531
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D11524 (Texas)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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