Healthcare Provider Details

I. General information

NPI: 1437175114
Provider Name (Legal Business Name): ROBIN ELIZABETH LENTS D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 COX CREEK PKWY
FLORENCE AL
35630-1105
US

IV. Provider business mailing address

640 COX CREEK PKWY
FLORENCE AL
35630-1105
US

V. Phone/Fax

Practice location:
  • Phone: 256-760-5660
  • Fax: 256-760-4681
Mailing address:
  • Phone: 256-760-5660
  • Fax: 256-760-4681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number5111
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: