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NPI Code Detail

MEDICARE: DR. WILLIAM G. ROBISON D.D.S.

MEDICARE: DR. WILLIAM G. ROBISON 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
11223G0001XGeneral Practice Dentistry3503NV

General Provider Information

NPI Number : 1821114695
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM G. ROBISON D.D.S.
Provider Business Mailing Address
First Line : 2910 COPPER BEACH CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2578
Country : US
Telephone Number : 702-384-5070
Fax Number : 702-247-1894
Provider Business Practice Location Address
First Line : 4765 S DURANGO DR
Second Line : SUITE #100
City : LAS VEGAS
State : NV
Zip : 89147-8145
Country : US
Telephone Number : 702-384-5070
Fax Number : 702-247-1894
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/08/2007

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