Provider Demographics
NPI:1265029250
Name:ROBBIE R ATKINSON, DDS, MD, LTD
Entity Type:Organization
Organization Name:ROBBIE R ATKINSON, DDS, MD, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LIQUINTA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIPES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-550-4934
Mailing Address - Street 1:1801 W 40TH AVE STE 2A
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-6957
Mailing Address - Country:US
Mailing Address - Phone:870-536-9609
Mailing Address - Fax:870-534-5327
Practice Address - Street 1:1801 W 40TH AVE STE 2A
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-6957
Practice Address - Country:US
Practice Address - Phone:870-536-9609
Practice Address - Fax:870-534-5327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-24
Last Update Date:2020-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery