Provider Demographics
NPI:1861626426
Name:KNOWLES, ROBIN KATHRYN (RDH, MPH)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:KATHRYN
Last Name:KNOWLES
Suffix:
Gender:F
Credentials:RDH, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 MORGAN PL
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06085-1178
Mailing Address - Country:US
Mailing Address - Phone:860-673-4612
Mailing Address - Fax:
Practice Address - Street 1:22 MORGAN PL
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:CT
Practice Address - Zip Code:06085-1178
Practice Address - Country:US
Practice Address - Phone:860-673-4612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003104124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist