Provider Demographics
NPI:1316984784
Name:ROBINSON & PRIJIC DENTAL ASSOCIATES, SC
Entity type:Organization
Organization Name:ROBINSON & PRIJIC DENTAL ASSOCIATES, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:608-756-1229
Mailing Address - Street 1:1714 N RANDALL AVE
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53545-0900
Mailing Address - Country:US
Mailing Address - Phone:608-756-1229
Mailing Address - Fax:
Practice Address - Street 1:1714 N RANDALL AVE
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-0900
Practice Address - Country:US
Practice Address - Phone:608-756-1229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI32351223G0001X
WI43771223G0001X
WI7070-151223G0001X
WI7258-151223G0001X
WI50016761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty