Provider Demographics
NPI:1568582146
Name:BAXTER, ROBBIE L (DDS)
Entity Type:Individual
Prefix:
First Name:ROBBIE
Middle Name:L
Last Name:BAXTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 CHERRY CREEK SOUTH DR
Mailing Address - Street 2:SUITE 135
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3244
Mailing Address - Country:US
Mailing Address - Phone:303-955-6294
Mailing Address - Fax:303-955-2846
Practice Address - Street 1:3200 CHERRY CREEK SOUTH DR
Practice Address - Street 2:SUITE 135
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3244
Practice Address - Country:US
Practice Address - Phone:303-955-6294
Practice Address - Fax:303-955-2846
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COHD1047711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice