Provider Demographics
NPI:1184753519
Name:DARLING, ROBERT PATRICK (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PATRICK
Last Name:DARLING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:638 RIVERFRONT DR
Mailing Address - Street 2:SUITE G40
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-4629
Mailing Address - Country:US
Mailing Address - Phone:920-459-8013
Mailing Address - Fax:920-457-1096
Practice Address - Street 1:638 RIVERFRONT DR
Practice Address - Street 2:SUITE G40
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-4629
Practice Address - Country:US
Practice Address - Phone:920-459-8013
Practice Address - Fax:920-457-1096
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI33111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice