DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROBIN BRENT BLAKKOLB, D.D.S.

Active

DR. ROBIN BRENT BLAKKOLB, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in DOWNERS GROVE, Illinois. NPI 1508945437 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · DOWNERS GROVE, IL

Registration Details

NPI Number
1508945437
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2006 (19.800503267678 yrs)
Last Updated
Apr 23, 2008
License
021-001127 (IL)

Practice Information

Address
6800 MAIN ST
SUITE 106
DOWNERS GROVE, IL, 605163493
Browse IL providers · Browse ZIP 60516
Phone
6309645880
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in DOWNERS GROVE, IL

Name Credential NPI
DR. STEPHEN THOMAS JAGIELO DDS 1225114622
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.