MEDICARE: GARY ROBINS DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	30-014145	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205898749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY ROBINS DMD

Provider Business Mailing Address
First Line	:	PO BOX 630579
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-0579
Country	:	US
Telephone Number	:	513-585-5506
Fax Number	:	513-585-5511

Provider Business Practice Location Address
First Line	:	222 PIEDMONT AVE.
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-4224
Country	:	US
Telephone Number	:	513-475-8783
Fax Number	:	513-475-7698

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	02/26/2018

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