Provider Demographics
NPI:1174773949
Name:KNOWLES, ROBIN (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:KNOWLES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:KNOWLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1306 S BLUE BELL RD
Mailing Address - Street 2:
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-4418
Mailing Address - Country:US
Mailing Address - Phone:979-836-6767
Mailing Address - Fax:979-836-5604
Practice Address - Street 1:1306 S BLUE BELL RD
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-4418
Practice Address - Country:US
Practice Address - Phone:979-836-6767
Practice Address - Fax:979-836-5604
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16915122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist