Provider Demographics
NPI:1013946193
Name:BRECKINRIDGE, ROBERT HOTCHKISS JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HOTCHKISS
Last Name:BRECKINRIDGE
Suffix:JR
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 1:178 COLD SPRING RD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-4055
Mailing Address - Country:US
Mailing Address - Phone:860-673-0844
Mailing Address - Fax:
Practice Address - Street 1:20 W AVON RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3677
Practice Address - Country:US
Practice Address - Phone:860-673-0451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006111122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist