Healthcare Provider Details

I. General information

NPI: 1104737006
Provider Name (Legal Business Name): ROBESON & ROBESON DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 WHIPPLE AVE NW STE 101
CANTON OH
44718-2977
US

IV. Provider business mailing address

4001 WHIPPLE AVE NW STE 101
CANTON OH
44718-2977
US

V. Phone/Fax

Practice location:
  • Phone: 330-492-5600
  • Fax: 330-492-5602
Mailing address:
  • Phone: 330-492-5600
  • Fax: 330-492-5602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIRK ROBESON
Title or Position: DENTIST
Credential: DDS
Phone: 330-492-5600