Provider Demographics
NPI:1053744227
Name:ROBERTSON, KRISTIN LARKIN (DDS)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:LARKIN
Last Name:ROBERTSON
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CARTERHAM CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-7754
Mailing Address - Country:US
Mailing Address - Phone:703-989-2472
Mailing Address - Fax:
Practice Address - Street 1:11601 ROBIOUS RD STE 130A
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-5605
Practice Address - Country:US
Practice Address - Phone:804-570-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC82831223G0001X
VA04014158151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice