Provider Demographics
NPI:1285757948
Name:ROBBINS, RICHARD D (DMD, MDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:D
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:DMD, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 N ROSINA AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-1319
Mailing Address - Country:US
Mailing Address - Phone:814-443-4282
Mailing Address - Fax:814-445-4009
Practice Address - Street 1:207 N ROSINA AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-1319
Practice Address - Country:US
Practice Address - Phone:814-443-4282
Practice Address - Fax:814-445-4009
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021329L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics