Provider Demographics
NPI:1609491695
Name:HEATHER ROBINSON DDS PA
Entity Type:Organization
Organization Name:HEATHER ROBINSON DDS PA
Other - Org Name:MIDWEST DENTAL ANESTHESIA SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ANESTHESIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:651-968-6740
Mailing Address - Street 1:1670 ROBERT ST S # 324
Mailing Address - Street 2:
Mailing Address - City:WEST ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118-3918
Mailing Address - Country:US
Mailing Address - Phone:651-983-1843
Mailing Address - Fax:651-756-7114
Practice Address - Street 1:4227 ARBOR BAY
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55129-4420
Practice Address - Country:US
Practice Address - Phone:651-788-8666
Practice Address - Fax:651-788-8666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0004XDental ProvidersDentistDentist AnesthesiologistGroup - Single Specialty