Provider Demographics
NPI:1548391220
Name:HAYES, ROBYN D (DDS)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:D
Last Name:HAYES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:D
Other - Last Name:DREWES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:165 HICKORY TREE CT
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-3869
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1548 WOODLAKE DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-5712
Practice Address - Country:US
Practice Address - Phone:314-576-3737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20060136821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice