| Doctor Name: | ROBERT PAUL RENCK |
| NPI Number: | 1013235522 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDS |
| License Number: | 9988 |
| Business Practice Address: | 11110 Medical Campus Rd Ste 148 Suite 148 Hagerstown, MD - 217426755 |
| Business Phone Number: | 2403139660 |
| Business Fax Number: | 2403139661 |
| Mailing Address: | 11110 Medical Campus Rd, Suite 148 HAGERSTOWN |
| State: | MD |
| Postal Code: | 217426700 |
| Phone Number: | 2403139660 |
| Fax Number: | 2403139661 |
| NPI Enumeration Date: | 05/07/2010 |
| NPI Last Update Date: | 05/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223G0001X |
| License Number: | 9988 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |