Provider Demographics
NPI:1306999537
Name:FLINT, ROBERT M (DDS)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:M
Last Name:FLINT
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:225 BROADWAY
Mailing Address - Street 2:MEZZENINE LEVEL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-3001
Mailing Address - Country:US
Mailing Address - Phone:212-732-7400
Mailing Address - Fax:212-732-0267
Practice Address - Street 1:225 BROADWAY
Practice Address - Street 2:MEZZENINE LEVEL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3001
Practice Address - Country:US
Practice Address - Phone:212-732-7400
Practice Address - Fax:212-732-0267
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY040867-21223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice