Provider Demographics
NPI:1104837533
Name:CROPPER, ROBIN M (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:M
Last Name:CROPPER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40342-1337
Mailing Address - Country:US
Mailing Address - Phone:502-839-6828
Mailing Address - Fax:502-839-6820
Practice Address - Street 1:720 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:KY
Practice Address - Zip Code:40342-1337
Practice Address - Country:US
Practice Address - Phone:502-839-6828
Practice Address - Fax:502-839-6820
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY69481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice