Provider Demographics
NPI:1730280884
Name:ROBINSON, CRAIG ANDREW (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:ANDREW
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 S 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:BARSTOW
Mailing Address - State:CA
Mailing Address - Zip Code:92311-2852
Mailing Address - Country:US
Mailing Address - Phone:760-256-2327
Mailing Address - Fax:760-256-1272
Practice Address - Street 1:450 S 2ND AVE
Practice Address - Street 2:
Practice Address - City:BARSTOW
Practice Address - State:CA
Practice Address - Zip Code:92311-2852
Practice Address - Country:US
Practice Address - Phone:760-256-2327
Practice Address - Fax:760-256-1272
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0307171223G0001X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223G0001XDental ProvidersDentistGeneral Practice
Not Answered1223P0700XDental ProvidersDentistProsthodontics