MEDICARE: CHRISTOPHER ROBINS D.D.S.

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
1	1223G0001X	General Practice Dentistry	6261111-9922	UT

General Provider Information

NPI Number	:	1437169331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER ROBINS D.D.S.

Provider Business Mailing Address
First Line	:	255 NORTH 3000 WEST
Second Line	:	SUITE A
City	:	WEST POINT
State	:	UT
Zip	:	84015-7416
Country	:	US
Telephone Number	:	801-784-9000
Fax Number	:	801-784-9002

Provider Business Practice Location Address
First Line	:	255 NORTH 3000 WEST
Second Line	:	SUITE A
City	:	WEST POINT
State	:	UT
Zip	:	84015-7416
Country	:	US
Telephone Number	:	801-784-9000
Fax Number	:	801-784-9002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	08/05/2009

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