Provider Demographics
NPI:1275558124
Name:MAUPIN, ROBERT STUART (DDS, PA)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:STUART
Last Name:MAUPIN
Suffix:
Gender:M
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 COLD SATURDAY DR
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048-2232
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16036 FREDERICK ROAD
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:MD
Practice Address - Zip Code:21765
Practice Address - Country:US
Practice Address - Phone:410-489-4200
Practice Address - Fax:410-489-7871
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD118201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice