Provider Demographics
NPI:1669683009
Name:ALAN F. ROBINSON DDS PC
Entity Type:Organization
Organization Name:ALAN F. ROBINSON DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-228-0909
Mailing Address - Street 1:15400 19 MILE RD
Mailing Address - Street 2:STE180
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-6327
Mailing Address - Country:US
Mailing Address - Phone:586-228-0909
Mailing Address - Fax:586-228-7655
Practice Address - Street 1:15400 19 MILE RD
Practice Address - Street 2:STE180
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-6327
Practice Address - Country:US
Practice Address - Phone:586-228-0909
Practice Address - Fax:586-228-7655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010132441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty