Provider Demographics
NPI:1043200413
Name:ROBESON, MEREDITH (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:
Last Name:ROBESON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1804
Mailing Address - Country:US
Mailing Address - Phone:330-535-7876
Mailing Address - Fax:330-535-7878
Practice Address - Street 1:300 LOCUST ST
Practice Address - Street 2:SUITE 430
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1821
Practice Address - Country:US
Practice Address - Phone:330-535-7876
Practice Address - Fax:330-535-7878
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30021026122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2392405Medicaid