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Robert Southworth, D.D.S
NPI 1982998381 · on the registry since 2011 · sole proprietor
Practice
- Address
- 609 Jackson St
Wausau, WI 54403 - Phone
- (715) 842-1935
- Fax
- (715) 842-0334
- Organisation at this address
- Southworth Dental
Robert H Southworth Dds ScInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin