Healthcare Provider Details

I. General information

NPI: 1255459947
Provider Name (Legal Business Name): STEVEN D. ROBINSON, D.D.S., LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3575 GRANT DR SUITE 10
RENO NV
89509-5301
US

IV. Provider business mailing address

3575 GRANT DR SUITE 10
RENO NV
89509-5301
US

V. Phone/Fax

Practice location:
  • Phone: 775-827-3302
  • Fax: 775-827-9095
Mailing address:
  • Phone: 775-827-3302
  • Fax: 775-827-9095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberS4-20
License Number StateNV

VIII. Authorized Official

Name: DR. STEVEN DOUGLAS ROBINSON
Title or Position: PRESIDENT
Credential: D.D.S., LTD
Phone: 775-827-3302