Provider Demographics
NPI:1245315092
Name:ROBBINS, ALAN STEVEN (DDS)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:STEVEN
Last Name:ROBBINS
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 1:3508 N JANSSEN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-1324
Mailing Address - Country:US
Mailing Address - Phone:773-929-9337
Mailing Address - Fax:773-929-9336
Practice Address - Street 1:3759 N SOUTHPORT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-3718
Practice Address - Country:US
Practice Address - Phone:773-466-4401
Practice Address - Fax:773-929-9336
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28799122300000X
IL19-016941122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist