Provider Demographics
NPI:1447358502
Name:ROBB, ALAN O (DDS)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:O
Last Name:ROBB
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 1:1145 MINNESOTA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-3324
Mailing Address - Country:US
Mailing Address - Phone:408-971-8066
Mailing Address - Fax:408-971-4375
Practice Address - Street 1:1145 MINNESOTA AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-3324
Practice Address - Country:US
Practice Address - Phone:408-971-8066
Practice Address - Fax:408-971-4375
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA30277122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist