Provider Demographics
NPI:1720132491
Name:BINKLEY, ROBERT F JR (DDS, PA)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:BINKLEY
Suffix:JR
Gender:M
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5906 POPLIN RD
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-6729
Mailing Address - Country:US
Mailing Address - Phone:704-847-7426
Mailing Address - Fax:704-847-5417
Practice Address - Street 1:2435 PLANTATION CENTER DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5147
Practice Address - Country:US
Practice Address - Phone:704-847-7426
Practice Address - Fax:704-847-5417
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC48341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8990729Medicaid