Provider Demographics
NPI:1881910644
Name:SIMONTON, ROBIN LYNN-PREGITZER (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:LYNN-PREGITZER
Last Name:SIMONTON
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 1:9271 SILVERSIDE
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-9316
Mailing Address - Country:US
Mailing Address - Phone:810-923-8696
Mailing Address - Fax:
Practice Address - Street 1:9271 SILVERSIDE
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-9316
Practice Address - Country:US
Practice Address - Phone:810-923-8696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901020041122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist