Provider Demographics
NPI:1225131600
Name:STARR, ROBERT LEWIS JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LEWIS
Last Name:STARR
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7055 N FRESNO ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2957
Mailing Address - Country:US
Mailing Address - Phone:559-225-1991
Mailing Address - Fax:559-432-5126
Practice Address - Street 1:7055 N FRESNO ST
Practice Address - Street 2:SUITE 305
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2957
Practice Address - Country:US
Practice Address - Phone:559-225-1991
Practice Address - Fax:559-432-5126
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA357851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice