Provider Demographics
NPI:1760602494
Name:FORD, ROBIN CAPALDI (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:CAPALDI
Last Name:FORD
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 1:100 N HIGH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-2155
Mailing Address - Country:US
Mailing Address - Phone:614-761-1974
Mailing Address - Fax:614-792-1520
Practice Address - Street 1:100 N HIGH ST
Practice Address - Street 2:SUITE C
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-2155
Practice Address - Country:US
Practice Address - Phone:614-761-1974
Practice Address - Fax:614-792-1520
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH18758122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist