Healthcare Provider Details

I. General information

NPI: 1609491695
Provider Name (Legal Business Name): HEATHER ROBINSON DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 12/12/2023
Certification Date: 12/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4227 ARBOR BAY
WOODBURY MN
55129-4420
US

IV. Provider business mailing address

1670 ROBERT ST S # 324
WEST ST PAUL MN
55118-3918
US

V. Phone/Fax

Practice location:
  • Phone: 651-788-8666
  • Fax: 651-788-8666
Mailing address:
  • Phone: 651-983-1843
  • Fax: 651-756-7114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number
License Number State

VIII. Authorized Official

Name: DR. HEATHER E ROBINSON
Title or Position: OWNER/ANESTHESIOLOGIST
Credential: DDS
Phone: 651-968-6740