Provider Demographics
NPI:1144244880
Name:ROBINSON, MELODY J (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELODY
Middle Name:J
Last Name:ROBINSON
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 1:222 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-1802
Mailing Address - Country:US
Mailing Address - Phone:615-446-5444
Mailing Address - Fax:615-446-5444
Practice Address - Street 1:222 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-1802
Practice Address - Country:US
Practice Address - Phone:615-446-5444
Practice Address - Fax:615-446-5444
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice