Healthcare Provider Details

I. General information

NPI: 1770447492
Provider Name (Legal Business Name): DENTAL ROBIN HOOD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1729 REVERE AVE
SAN FRANCISCO CA
94124-2345
US

IV. Provider business mailing address

1729 REVERE AVE
SAN FRANCISCO CA
94124-2345
US

V. Phone/Fax

Practice location:
  • Phone: 415-240-9502
  • Fax:
Mailing address:
  • Phone: 415-240-9502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. RUBIN SORRELL II
Title or Position: FOUNDER / CEO
Credential: DDS, MPH
Phone: 415-240-9502