Provider Demographics
NPI:1730313495
Name:VERGE, ROBIN (RDH)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:
Last Name:VERGE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 US ROUTE 1
Mailing Address - Street 2:FALMOUTH SHOPPING CENTER
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1322
Mailing Address - Country:US
Mailing Address - Phone:207-781-4625
Mailing Address - Fax:
Practice Address - Street 1:251 US ROUTE 1
Practice Address - Street 2:FALMOUTH SHOPPING CENTER
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1322
Practice Address - Country:US
Practice Address - Phone:207-781-4625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2824124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist