Provider Demographics
NPI:1073640793
Name:STANLEY J ROBISON DDS MS PA
Entity Type:Organization
Organization Name:STANLEY J ROBISON DDS MS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:ROBISON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:301-662-0181
Mailing Address - Street 1:2090 OLD FARM DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-5400
Mailing Address - Country:US
Mailing Address - Phone:301-662-0181
Mailing Address - Fax:
Practice Address - Street 1:2090 OLD FARM DR
Practice Address - Street 2:SUITE F
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-5400
Practice Address - Country:US
Practice Address - Phone:301-662-0181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD109241223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty