Provider Demographics
NPI:1750507745
Name:ROBINSON, LINDA MARIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MARIE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 RUSSELL STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035
Mailing Address - Country:US
Mailing Address - Phone:413-587-0888
Mailing Address - Fax:413-587-0808
Practice Address - Street 1:380 RUSSELL STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035
Practice Address - Country:US
Practice Address - Phone:413-587-0888
Practice Address - Fax:413-587-0808
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA185171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice