Provider Demographics
NPI:1093890154
Name:ROBSON, MATTHEW HILL (DDS)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:HILL
Last Name:ROBSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1918 PEPPER HILL WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2319
Mailing Address - Country:US
Mailing Address - Phone:281-480-0824
Mailing Address - Fax:
Practice Address - Street 1:4111 FAIRMONT PKWY STE 103
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3300
Practice Address - Country:US
Practice Address - Phone:281-487-8420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX163001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice