Provider Demographics
NPI:1275063182
Name:STICKNEY, ROBIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:STICKNEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:GOINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:7651 SW HIGHWAY 200 STE 101
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-3869
Mailing Address - Country:US
Mailing Address - Phone:352-854-2000
Mailing Address - Fax:
Practice Address - Street 1:7651 SW HIGHWAY 200 STE 101
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-3869
Practice Address - Country:US
Practice Address - Phone:352-854-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15559122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist