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NPI Code Detail

MEDICARE: KIRBY JOE ROBINSON OF TEXAS, DDS, P.C.

MEDICARE: KIRBY JOE ROBINSON OF TEXAS, DDS, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist16454TX

General Provider Information

NPI Number : 1417973975
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIRBY JOE ROBINSON OF TEXAS, DDS, P.C.
Provider Business Mailing Address
First Line : 200 N BROADWAY ST
Second Line :
City : CHECOTAH
State : OK
Zip : 74426-2432
Country : US
Telephone Number :
Fax Number : 918-473-0346
Provider Business Practice Location Address
First Line : 2415 S AUSTIN AVE
Second Line : SUITE 101
City : DENISON
State : TX
Zip : 75020-7741
Country : US
Telephone Number : 903-327-8540
Fax Number : 903-327-8749
Authorized Official
Title or Position : PRESIDENT
Name : DR. KIRBY JOE ROBINSON
Credential : D.D.S.
Telephone Number : 800-658-2177
Provider Enumeration Date : 07/15/2006
Last Update Date : 08/22/2020

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Directions to “KIRBY JOE ROBINSON OF TEXAS, DDS, P.C. ” Practice Location

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