Provider Demographics
NPI:1528743374
Name:ROBINSON, SHELLEY (DMD)
Entity type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6280 SUNSET DR STE 404
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4860
Mailing Address - Country:US
Mailing Address - Phone:305-661-7810
Mailing Address - Fax:
Practice Address - Street 1:6280 SUNSET DR STE 404
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4860
Practice Address - Country:US
Practice Address - Phone:305-661-7810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN28191122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist