Provider Demographics
NPI:1912264193
Name:STARNES, ROBERT R (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:R
Last Name:STARNES
Suffix:
Gender:M
Credentials:DDS
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Other - Credentials:
Mailing Address - Street 1:5207 PINNACLE PKWY
Mailing Address - Street 2:COLONIAL PINNACLE NORD DU LAC SHOPPING CENTER
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-9191
Mailing Address - Country:US
Mailing Address - Phone:985-893-4882
Mailing Address - Fax:985-893-4884
Practice Address - Street 1:5207 PINNACLE PKWY
Practice Address - Street 2:COLONIAL PINNACLE NORD DU LAC SHOPPING CENTER
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-9191
Practice Address - Country:US
Practice Address - Phone:985-893-4882
Practice Address - Fax:985-893-4884
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA4118122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist