Provider Demographics
NPI:1386023364
Name:PERRY, ROBYN (RDH)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 W UNIVERSITY AVE STE 345
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-5345
Mailing Address - Country:US
Mailing Address - Phone:512-869-4850
Mailing Address - Fax:
Practice Address - Street 1:1013 W UNIVERSITY AVE STE 345
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-5345
Practice Address - Country:US
Practice Address - Phone:512-869-4850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-24
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19800124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist