Provider Demographics
NPI:1063648806
Name:ROBBINS, BRADEN MELVIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRADEN
Middle Name:MELVIN
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 UNIVERSITY BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4617
Mailing Address - Country:US
Mailing Address - Phone:303-321-2233
Mailing Address - Fax:303-321-0967
Practice Address - Street 1:201 UNIVERSITY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4617
Practice Address - Country:US
Practice Address - Phone:303-321-2233
Practice Address - Fax:303-321-0967
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO99201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice