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General NPI Number Information
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NPI Number | 1033657382
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Entity Type | Organization
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Legal Business Name | KIRBY J. ROBINSON, DDS OF ARKANSAS, PLLC
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 635 DAVE WARD DRIVE STE 101
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City | CONWAY
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State | AR
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Zip | 72034
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Country | US
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Telephone | 501-238-9801
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Fax |
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Provider Business Mailing Address
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Address Line | 635 DAVE WARD DR STE 101
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City | CONWAY
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State | AR
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Zip | 72034-7146
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ENROLLMENT SPECIALIST
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Name | HALEY WOOSTER
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Credential |
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Telephone | 984-251-8846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3315
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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