Provider Demographics
NPI:1821189259
Name:MCROBBIE, KATHY K (DDS)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:K
Last Name:MCROBBIE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4310 RUNNING BROOK DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-9256
Mailing Address - Country:US
Mailing Address - Phone:972-475-1760
Mailing Address - Fax:
Practice Address - Street 1:3705 LAKEVIEW PKWY
Practice Address - Street 2:SUITE 209
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4177
Practice Address - Country:US
Practice Address - Phone:972-475-5994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX178581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX111115501Medicaid