Provider Demographics
NPI:1447338405
Name:ROBBINS, ALAN M (DDS)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:M
Last Name:ROBBINS
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 1:14055 CEDAR RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3337
Mailing Address - Country:US
Mailing Address - Phone:216-371-0220
Mailing Address - Fax:216-371-3763
Practice Address - Street 1:14055 CEDAR RD
Practice Address - Street 2:SUITE 203
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44118-3337
Practice Address - Country:US
Practice Address - Phone:216-371-0220
Practice Address - Fax:216-371-3763
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND125491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice