Provider Demographics
NPI:1750488409
Name:BOBB-ROLLINS, RITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:
Last Name:BOBB-ROLLINS
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 1:36 FOOTHILLS WAY
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-1640
Mailing Address - Country:US
Mailing Address - Phone:860-216-6322
Mailing Address - Fax:
Practice Address - Street 1:36 FOOTHILLS WAY
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-1640
Practice Address - Country:US
Practice Address - Phone:860-216-6322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0078801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice