Healthcare Provider Details

I. General information

NPI: 1245394154
Provider Name (Legal Business Name): JOHN W ROBINSON, III, DMD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 MEDICAL PARK DR
ASHEVILLE NC
28803-2493
US

IV. Provider business mailing address

4 MEDICAL PARK DR
ASHEVILLE NC
28803-2493
US

V. Phone/Fax

Practice location:
  • Phone: 828-277-7770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number5950
License Number StateNC

VIII. Authorized Official

Name: JOHN ROBINSON III
Title or Position: OWNER
Credential:
Phone: 828-277-7770