Provider Demographics
NPI:1528178639
Name:THERESA ROBINSON DMD
Entity Type:Organization
Organization Name:THERESA ROBINSON DMD
Other - Org Name:NEW SMILE MAGIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:M
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-403-5559
Mailing Address - Street 1:5915 FARRINGTON RD
Mailing Address - Street 2:#101
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517
Mailing Address - Country:US
Mailing Address - Phone:919-403-5559
Mailing Address - Fax:919-403-8537
Practice Address - Street 1:5915 FARRINGTON RD
Practice Address - Street 2:#101
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517
Practice Address - Country:US
Practice Address - Phone:919-403-5559
Practice Address - Fax:919-403-8537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty