Provider Demographics
NPI:1386770915
Name:ROBINSON, DEAN F (DMD)
Entity type:Individual
Prefix:
First Name:DEAN
Middle Name:F
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2476 N UNIVERSITY PKY #102
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-3801
Mailing Address - Country:US
Mailing Address - Phone:801-375-3388
Mailing Address - Fax:801-375-1277
Practice Address - Street 1:2476 N UNIVERSITY PKY #102
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-3801
Practice Address - Country:US
Practice Address - Phone:801-375-3388
Practice Address - Fax:801-375-1277
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT143689 9922122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist