Provider Demographics
NPI:1801190475
Name:ROBINSON, QUIANA (DDS)
Entity Type:Individual
Prefix:DR
First Name:QUIANA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:QUIANA
Other - Middle Name:J
Other - Last Name:REID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5301 WILKINSON BLVD # 1105
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-5455
Mailing Address - Country:US
Mailing Address - Phone:704-316-6561
Mailing Address - Fax:704-384-1977
Practice Address - Street 1:5301 WILKINSON BLVD # 1105
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5455
Practice Address - Country:US
Practice Address - Phone:704-316-6561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-22
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9133122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist