Provider Demographics
NPI:1114042660
Name:ROBBINS, ELIZABETH BROOK (DDS)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:BROOK
Last Name:ROBBINS
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 1:2545 BUSINESS PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311
Mailing Address - Country:US
Mailing Address - Phone:423-813-7222
Mailing Address - Fax:423-813-7220
Practice Address - Street 1:2545 BUSINESS PARK DRIVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311
Practice Address - Country:US
Practice Address - Phone:423-813-7222
Practice Address - Fax:423-813-7220
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8533122300000X
CA54680122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist