Provider Demographics
NPI:1437043338
Name:ROBBINS, KRISTEN (DMD)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4282 BERLIN DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211-6017
Mailing Address - Country:US
Mailing Address - Phone:601-616-3761
Mailing Address - Fax:
Practice Address - Street 1:113 DEES DR STE E
Practice Address - Street 2:
Practice Address - City:GLUCKSTADT
Practice Address - State:MS
Practice Address - Zip Code:39110-5049
Practice Address - Country:US
Practice Address - Phone:601-633-2988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1111751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice