Healthcare Provider Details

I. General information

NPI: 1164041232
Provider Name (Legal Business Name): THOMAS JERRY ROBBINS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 SUNDAY DR STE 109
RALEIGH NC
27607-5173
US

IV. Provider business mailing address

1401 SUNDAY DR STE 109
RALEIGH NC
27607-5173
US

V. Phone/Fax

Practice location:
  • Phone: 919-926-0177
  • Fax: 919-926-0178
Mailing address:
  • Phone: 919-926-0177
  • Fax: 919-926-0178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X2210X
TaxonomyOrofacial Pain Dentistry
License Number13499
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: