Provider Demographics
NPI:1356359343
Name:ROBERTSON, SEAN ANDREW (DDS)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:ANDREW
Last Name:ROBERTSON
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 1:2780 STATE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-5518
Mailing Address - Country:US
Mailing Address - Phone:805-687-1404
Mailing Address - Fax:805-687-4215
Practice Address - Street 1:2780 STATE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-5518
Practice Address - Country:US
Practice Address - Phone:805-687-1404
Practice Address - Fax:805-687-4215
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA377311223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics