Provider Demographics
NPI:1093235574
Name:ROBISON, TAYLOR KONZE (DDS)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:KONZE
Last Name:ROBISON
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 1:360 NUECES ST APT 2107
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-4267
Mailing Address - Country:US
Mailing Address - Phone:512-925-1095
Mailing Address - Fax:
Practice Address - Street 1:401 W SLAUGHTER LN STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-1774
Practice Address - Country:US
Practice Address - Phone:512-291-8012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-26
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX331601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice