Provider Demographics
NPI:1518973031
Name:ROBBINS, MICHAEL HARRY (D D S)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HARRY
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9001 WILSHIRE BLVD
Mailing Address - Street 2:303
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1838
Mailing Address - Country:US
Mailing Address - Phone:310-273-0726
Mailing Address - Fax:310-553-0721
Practice Address - Street 1:9001 WILSHIRE BLVD
Practice Address - Street 2:303
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1838
Practice Address - Country:US
Practice Address - Phone:310-273-0726
Practice Address - Fax:310-553-0721
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA241721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice