Provider Demographics
NPI:1215074497
Name:DAKIN, ROBERT H (DDS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:H
Last Name:DAKIN
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 1:439 N MCLEAN BLVD
Mailing Address - Street 2:STE. 204
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-5900
Mailing Address - Country:US
Mailing Address - Phone:316-262-0202
Mailing Address - Fax:316-262-0202
Practice Address - Street 1:439 N MCLEAN BLVD
Practice Address - Street 2:STE. 204
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-5900
Practice Address - Country:US
Practice Address - Phone:316-262-0202
Practice Address - Fax:316-262-0202
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice