Provider Demographics
NPI:1437272275
Name:ROBISON, ANDREW G (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:G
Last Name:ROBISON
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 1:220 N NEVADA ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-4105
Mailing Address - Country:US
Mailing Address - Phone:775-885-9446
Mailing Address - Fax:775-885-0529
Practice Address - Street 1:220 N NEVADA ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4105
Practice Address - Country:US
Practice Address - Phone:775-885-9446
Practice Address - Fax:775-885-0529
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV 33671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice