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General NPI Number Information
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NPI Number | 1730476268
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Entity Type | Organization
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Legal Business Name | QUINTON C. ROBINSON III, D.D.S., M.S., PLLC
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Dates
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Enumeration Date | 07/05/2011
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Last Update Date | 07/05/2011
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Provider Practice Location Address
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Address Line | 5180 PARK AVE SUITE 260
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City | MEMPHIS
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State | TN
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Zip | 38119-3521
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Country | US
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Telephone | 901-683-6770
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Fax | 901-766-1640
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Provider Business Mailing Address
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Address Line | 5180 PARK AVE SUITE 260
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City | MEMPHIS
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State | TN
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Zip | 38119-3521
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Country | US
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Telephone | 901-683-6770
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Fax | 901-766-1640
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Authorized Official
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Title or Position | DENTIST
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Name | DR. QUINTON CARTY ROBINSON III
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Credential | D.D.S.
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Telephone | 901-683-6770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS4329
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License Number State | TN
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