Provider Demographics
NPI:1033975388
Name:ROBINSON, JANEL RENE (RDH)
Entity Type:Individual
Prefix:
First Name:JANEL
Middle Name:RENE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:JANEL
Other - Middle Name:RENE
Other - Last Name:BURGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:111 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-1612
Mailing Address - Country:US
Mailing Address - Phone:240-291-2907
Mailing Address - Fax:
Practice Address - Street 1:7360 GUILFORD DR STE 102
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-5128
Practice Address - Country:US
Practice Address - Phone:301-668-2662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4554124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist