Provider Demographics
NPI:1831326883
Name:BERNARD, ROBIN OKLIN (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:OKLIN
Last Name:BERNARD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4709 WALNUT GLEN CT
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-4006
Mailing Address - Country:US
Mailing Address - Phone:248-669-5552
Mailing Address - Fax:
Practice Address - Street 1:4709 WALNUT GLEN CT
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-4006
Practice Address - Country:US
Practice Address - Phone:248-669-5552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901018285122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist