| Organization Name: | ROBERT B. ALSTON, JR. D.D.S. |
| NPI Number: | 1861761413 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT B ALSTON (OWNER/DENTIST) |
| Mailing Address: | 211 Sun Valley Blvd Hewitt |
| State: | TX US |
| Postal Code: | 766433571 |
| Phone Number: | 2546661366 |
| Fax Number: | 2546664766 |
| NPI Enumeration Date: | 12/27/2011 |
| NPI Last Update Date: | 12/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | TX14148 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |