Provider Demographics
NPI:1316432768
Name:ROBINS, MARTIN ALAN (DDS)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:ALAN
Last Name:ROBINS
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 1:22041 STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-4219
Mailing Address - Country:US
Mailing Address - Phone:561-482-7200
Mailing Address - Fax:561-451-4146
Practice Address - Street 1:22041 STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-4219
Practice Address - Country:US
Practice Address - Phone:561-482-7200
Practice Address - Fax:561-451-4146
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN7951122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist