Provider Demographics
NPI:1417029919
Name:DARLING, ROBIN KEITH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:KEITH
Last Name:DARLING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 VERNON AVE
Mailing Address - Street 2:BUILDING 148
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32407-7018
Mailing Address - Country:US
Mailing Address - Phone:850-636-7119
Mailing Address - Fax:850-235-5321
Practice Address - Street 1:101 VERNON AVE
Practice Address - Street 2:BUILDING 148
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32407-7018
Practice Address - Country:US
Practice Address - Phone:850-636-7119
Practice Address - Fax:850-235-5321
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0149901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice