Provider Demographics
NPI:1467440057
Name:MARKLIN, ROBERT V (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:V
Last Name:MARKLIN
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 1:68 GRAPE ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-2140
Mailing Address - Country:US
Mailing Address - Phone:508-993-1103
Mailing Address - Fax:508-993-1751
Practice Address - Street 1:68 GRAPE ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-2140
Practice Address - Country:US
Practice Address - Phone:508-993-1103
Practice Address - Fax:508-993-1751
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA123081223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry