Healthcare Provider Details

I. General information

NPI: 1831009711
Provider Name (Legal Business Name): RYAN ROBBINS DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 N MAIN ST
CLEBURNE TX
76033-3852
US

IV. Provider business mailing address

902 N MAIN ST
CLEBURNE TX
76033-3852
US

V. Phone/Fax

Practice location:
  • Phone: 817-645-6674
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: RYAN JOHN ROBBINS
Title or Position: OWNER
Credential: D.D.S.
Phone: 817-645-6674