Provider Demographics
NPI:1861481327
Name:ROBINSON, HEATHER EILEEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:EILEEN
Last Name:ROBINSON
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 1:4227 ARBOR BAY
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55129-4420
Mailing Address - Country:US
Mailing Address - Phone:651-788-8666
Mailing Address - Fax:651-788-8666
Practice Address - Street 1:4227 ARBOR BAY
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55129-4420
Practice Address - Country:US
Practice Address - Phone:651-788-8666
Practice Address - Fax:651-788-8666
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND116001223D0004X
MNS1461223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDentist Anesthesiologist