Healthcare Provider Details
I. General information
NPI: 1386749042
Provider Name (Legal Business Name): CATHERINE DANA ROBINETTE DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/14/2006
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
216 FOUNTAIN CT SUITE#150
LEXINGTON KY
40509-1888
US
IV. Provider business mailing address
614 COOPER DR
LEXINGTON KY
40502-2248
US
V. Phone/Fax
- Phone: 859-543-2242
- Fax: 859-685-0115
- Phone: 859-519-0041
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0221X |
| Taxonomy | Pediatric Dentistry |
| License Number | 8129 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 8129 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: