Provider Demographics
NPI:1437206406
Name:ROBBINS, ALFRED (DDS)
Entity type:Individual
Prefix:
First Name:ALFRED
Middle Name:
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 1:7400 N KENDALL DR STE 608
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7709
Mailing Address - Country:US
Mailing Address - Phone:305-670-5211
Mailing Address - Fax:305-670-5213
Practice Address - Street 1:7400 N KENDALL DR STE 608
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7709
Practice Address - Country:US
Practice Address - Phone:305-670-5211
Practice Address - Fax:305-670-5213
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6116122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1223G0001XMedicare UPIN