Provider Demographics
NPI:1568055291
Name:HIGGINS, ROBIN LYNN (RDH BSAH)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNN
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:RDH BSAH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 E LINCOLNWAY
Mailing Address - Street 2:
Mailing Address - City:MINERVA
Mailing Address - State:OH
Mailing Address - Zip Code:44657-1211
Mailing Address - Country:US
Mailing Address - Phone:330-868-5001
Mailing Address - Fax:
Practice Address - Street 1:817 E LINCOLNWAY
Practice Address - Street 2:
Practice Address - City:MINERVA
Practice Address - State:OH
Practice Address - Zip Code:44657-1211
Practice Address - Country:US
Practice Address - Phone:330-868-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-13
Last Update Date:2021-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH31.009880124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH406001033135OtherUNITED HEALTHCARE CHOICE PLUS NETWORK