Provider Demographics
NPI:1619008901
Name:JEFFREY A. HOUSTON DMD AND JOHN P. ROBISON DMD, P.C.
Entity Type:Organization
Organization Name:JEFFREY A. HOUSTON DMD AND JOHN P. ROBISON DMD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:706-226-3334
Mailing Address - Street 1:1625 BROADRICK DR.
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720
Mailing Address - Country:US
Mailing Address - Phone:706-226-3334
Mailing Address - Fax:706-278-0689
Practice Address - Street 1:1625 BROADRICK DR.
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720
Practice Address - Country:US
Practice Address - Phone:706-226-3334
Practice Address - Fax:706-277-0689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty