Provider Demographics
NPI:1558567321
Name:WEEKS, ROBIN ALAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:ALAN
Last Name:WEEKS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 KILLINGLY AVE
Mailing Address - Street 2:P.O. BOX 366
Mailing Address - City:PUTNAM
Mailing Address - State:CT
Mailing Address - Zip Code:06260-3021
Mailing Address - Country:US
Mailing Address - Phone:860-928-4088
Mailing Address - Fax:860-928-6172
Practice Address - Street 1:82 KILLINGLY AVE
Practice Address - Street 2:
Practice Address - City:PUTNAM
Practice Address - State:CT
Practice Address - Zip Code:06260-3021
Practice Address - Country:US
Practice Address - Phone:860-928-4088
Practice Address - Fax:860-928-6172
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006007122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist