Provider Demographics
NPI:1659416931
Name:ADKINS, ROBERT BRIAN (DMD,PSC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BRIAN
Last Name:ADKINS
Suffix:
Gender:M
Credentials:DMD,PSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5187
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41105-5187
Mailing Address - Country:US
Mailing Address - Phone:606-928-0970
Mailing Address - Fax:606-928-1433
Practice Address - Street 1:1101 STATE ROUTE 716
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41102-8258
Practice Address - Country:US
Practice Address - Phone:606-928-0970
Practice Address - Fax:606-928-1433
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY63751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice