Provider Demographics
NPI:1902019425
Name:HARRISON-MAYO, ROBIN FRANCES (DDS)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:FRANCES
Last Name:HARRISON-MAYO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:F
Other - Last Name:HARRISON-MAYO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:5232 ALBEMARLE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-2659
Mailing Address - Country:US
Mailing Address - Phone:704-375-7005
Mailing Address - Fax:
Practice Address - Street 1:5232 ALBEMARLE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-2659
Practice Address - Country:US
Practice Address - Phone:704-375-7005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD120381223G0001X
NC95911223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No1223G0001XDental ProvidersDentistGeneral Practice