Provider Demographics
NPI:1306028881
Name:GREENSPAN, ROBIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:GREENSPAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2715 MOORES VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-1050
Mailing Address - Country:US
Mailing Address - Phone:410-653-5219
Mailing Address - Fax:
Practice Address - Street 1:109 OLD PADONIA RD
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-4917
Practice Address - Country:US
Practice Address - Phone:410-560-1400
Practice Address - Fax:410-560-2063
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10087122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist