Provider Demographics
NPI:1790454742
Name:ROBBINS, KRISTEN DIANNE (RDH)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:DIANNE
Last Name:ROBBINS
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 1:10019 E ALBERTA CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-6957
Mailing Address - Country:US
Mailing Address - Phone:804-381-8042
Mailing Address - Fax:
Practice Address - Street 1:2215 PUMP RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-3507
Practice Address - Country:US
Practice Address - Phone:804-447-1453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-12
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04022206892124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist