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General NPI Number Information
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NPI Number | 1730014408
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Entity Type | Organization
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Legal Business Name | KIRBY J. ROBINSON, DDS OF MISSOURI, LLC
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 157 SIEMERS DR STE 106
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63701-4920
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Country | US
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Telephone | 573-335-5199
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Fax |
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Provider Business Mailing Address
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Address Line | 157 SIEMERS DR STE 106
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63701-4920
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Country | US
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Telephone | 573-335-5199
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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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 | 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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