Healthcare Provider Details

I. General information

NPI: 1669553889
Provider Name (Legal Business Name): STEVEN L. ROBINSON DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 COTUIT RD
SANDWICH MA
02563-5109
US

IV. Provider business mailing address

335 COTUIT RD P.O. BOX 1014
SANDWICH MA
02563-5109
US

V. Phone/Fax

Practice location:
  • Phone: 508-888-4400
  • Fax: 508-888-1331
Mailing address:
  • Phone: 508-888-4400
  • Fax: 508-888-1331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14474
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: