Provider Demographics
NPI:1508067927
Name:ROBINETTE, STEVEN G (DDS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:G
Last Name:ROBINETTE
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 1:4566 HWY 20 E
Mailing Address - Street 2:SUITE 108
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578
Mailing Address - Country:US
Mailing Address - Phone:850-897-9600
Mailing Address - Fax:850-678-8683
Practice Address - Street 1:4566 HWY 20 E
Practice Address - Street 2:SUITE 108
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578
Practice Address - Country:US
Practice Address - Phone:850-897-9600
Practice Address - Fax:850-678-8683
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN106041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice