Provider Demographics
NPI:1447430145
Name:ROBBINS, ROBERT PAUL (DPD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:PAUL
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:DPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1346 8TH ST NE
Mailing Address - Street 2:#200
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-4588
Mailing Address - Country:US
Mailing Address - Phone:253-939-3540
Mailing Address - Fax:253-939-7664
Practice Address - Street 1:1346 8TH ST NE
Practice Address - Street 2:#200
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4588
Practice Address - Country:US
Practice Address - Phone:253-939-3540
Practice Address - Fax:253-939-7664
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADN00000310122400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122400000XDental ProvidersDenturist