Provider Demographics
NPI:1609865278
Name:ROBINETTE, RICHARD L
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:L
Last Name:ROBINETTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 TOWN CENTER PKWY
Mailing Address - Street 2:SUITE 130 PO BOX 849
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-2461
Mailing Address - Country:US
Mailing Address - Phone:931-486-0700
Mailing Address - Fax:931-486-0709
Practice Address - Street 1:220 TOWN CENTER PKWY
Practice Address - Street 2:SUITE 130
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-2461
Practice Address - Country:US
Practice Address - Phone:931-486-0700
Practice Address - Fax:931-486-0709
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS54081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice