Healthcare Provider Details

I. General information

NPI: 1700294469
Provider Name (Legal Business Name): SLOAN ROBISON DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2014
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 W BLUE RIDGE BLVD
KANSAS CITY MO
64145-1264
US

IV. Provider business mailing address

11225 EMERALD PINE LN
LAS VEGAS NV
89138-1589
US

V. Phone/Fax

Practice location:
  • Phone: 785-989-4911
  • Fax:
Mailing address:
  • Phone: 801-300-5067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number7337
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00202304
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2500075993
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: