DR. Robert Etherton, D.M.D.

NPI #1255491080 in Jackson, Missouri

Provider Information

NPI Number: 1255491080
Entity Type: Individual
Name: DR. Robert Etherton, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Dec 11, 2006
Last Updated: Apr 26, 2012

Practice Location

Address: 3100 E JACKSON BLVD
City: Jackson
State: Missouri
ZIP Code: 63755-2957
Phone: (573) 243-1520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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