Provider Demographics
NPI:1750588877
Name:ROBINS, GREGORY EARL (DDS)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:EARL
Last Name:ROBINS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:GREGORY
Other - Middle Name:E
Other - Last Name:ROBINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1129 S GLENDORA AVE
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-4955
Mailing Address - Country:US
Mailing Address - Phone:626-919-7707
Mailing Address - Fax:626-851-0985
Practice Address - Street 1:1129 S GLENDORA AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-4955
Practice Address - Country:US
Practice Address - Phone:626-919-7707
Practice Address - Fax:626-851-0985
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26699122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist