Provider Demographics
NPI:1891206066
Name:SAMUEL W ROBINSON, DDS, PLLC
Entity Type:Organization
Organization Name:SAMUEL W ROBINSON, DDS, PLLC
Other - Org Name:RICHARDSON ORAL & MAXILLOFACIAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-231-6661
Mailing Address - Street 1:9029 MAGUIRES BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4016
Mailing Address - Country:US
Mailing Address - Phone:281-923-2641
Mailing Address - Fax:
Practice Address - Street 1:1070 W CAMPBELL RD STE 200
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2987
Practice Address - Country:US
Practice Address - Phone:972-231-6661
Practice Address - Fax:972-231-6661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX265521223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty