Provider Demographics
NPI:1699078162
Name:YAMAGUMA, ROBIN S (DMD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:S
Last Name:YAMAGUMA
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 WILDER AVE APT 605
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2644
Mailing Address - Country:US
Mailing Address - Phone:808-387-6814
Mailing Address - Fax:
Practice Address - Street 1:19751 E SMOKY HILL RD UNIT A
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-5191
Practice Address - Country:US
Practice Address - Phone:303-228-5438
Practice Address - Fax:303-228-5464
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-06
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2026321223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry