Provider Demographics
NPI:1134208945
Name:SINK, ROBERT CLAYTON (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CLAYTON
Last Name:SINK
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 1:412 FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-2312
Mailing Address - Country:US
Mailing Address - Phone:910-592-1478
Mailing Address - Fax:910-592-3316
Practice Address - Street 1:412 FAIRVIEW ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-2312
Practice Address - Country:US
Practice Address - Phone:910-592-1478
Practice Address - Fax:910-592-3316
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC51851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice