Healthcare Provider Details

I. General information

NPI: 1679677728
Provider Name (Legal Business Name): ROBIN T BINGHAM DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7119 LANGLEY ST
MILTON FL
32570-6105
US

IV. Provider business mailing address

NAS WHITING FIELD 7119 LANGLEY ST
MILTON FL
32570
US

V. Phone/Fax

Practice location:
  • Phone: 850-623-7657
  • Fax:
Mailing address:
  • Phone: 850-623-7657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number012517
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN012517
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: