Provider Demographics
NPI:1851503759
Name:UHRIN, ROBERT DAVID (ROBERT UHRIN)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DAVID
Last Name:UHRIN
Suffix:
Gender:M
Credentials:ROBERT UHRIN
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:D
Other - Last Name:UHRIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:4060 HAGGERTY HWY
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48390-1313
Mailing Address - Country:US
Mailing Address - Phone:248-363-0480
Mailing Address - Fax:248-363-4469
Practice Address - Street 1:4060 HAGGERTY HWY
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48390-1313
Practice Address - Country:US
Practice Address - Phone:248-363-0480
Practice Address - Fax:248-363-4469
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI13524122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist