Healthcare Provider Details

I. General information

NPI: 1770562795
Provider Name (Legal Business Name): JANET YUN CHIEH ROBINSON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 05/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2889 HELEN GORBY WAY
BEAVERCREEK OH
45431-8580
US

IV. Provider business mailing address

4881 SUGAR MAPLE DR BLDG 830
WRIGHT PATTERSON AFB OH
45433-5529
US

V. Phone/Fax

Practice location:
  • Phone: 940-224-6385
  • Fax:
Mailing address:
  • Phone: 937-257-8761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number2901014799
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: