Provider Demographics
NPI:1740402767
Name:PERKIN, ROBERT FLEMING (DMD,MPH)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FLEMING
Last Name:PERKIN
Suffix:
Gender:M
Credentials:DMD,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5945 N PASEO VENTOSO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-1133
Mailing Address - Country:US
Mailing Address - Phone:520-299-6857
Mailing Address - Fax:520-299-6857
Practice Address - Street 1:5945 N PASEO VENTOSO
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-1133
Practice Address - Country:US
Practice Address - Phone:520-299-6857
Practice Address - Fax:520-299-6857
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ21581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice