Provider Demographics
NPI:1760517015
Name:ROBBINS, TERRENCE EUGENE (DMD)
Entity Type:Individual
Prefix:
First Name:TERRENCE
Middle Name:EUGENE
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 MADISON AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-6045
Mailing Address - Country:US
Mailing Address - Phone:916-961-1902
Mailing Address - Fax:916-961-1662
Practice Address - Street 1:6600 MADISON AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-6045
Practice Address - Country:US
Practice Address - Phone:916-961-1902
Practice Address - Fax:916-961-1662
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD215041223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery