Provider Demographics
NPI:1508805060
Name:ROBINETT, GARY DONALD (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:DONALD
Last Name:ROBINETT
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 1:7128 E BECKER LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6173
Mailing Address - Country:US
Mailing Address - Phone:480-948-4353
Mailing Address - Fax:480-948-4081
Practice Address - Street 1:7128 E BECKER LN
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6173
Practice Address - Country:US
Practice Address - Phone:480-948-4353
Practice Address - Fax:480-948-4081
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice