Provider Demographics
NPI:1508066580
Name:ROBINSON, WESLEY LLOYD (DMD, PA)
Entity Type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:LLOYD
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DMD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7215 LEBANON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-9026
Mailing Address - Country:US
Mailing Address - Phone:704-573-3331
Mailing Address - Fax:704-573-3332
Practice Address - Street 1:7215 LEBANON RD
Practice Address - Street 2:SUITE B
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-9026
Practice Address - Country:US
Practice Address - Phone:704-573-3331
Practice Address - Fax:704-573-3332
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC78911223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics