Provider Demographics
NPI:1942249636
Name:ROBINSON, SCOTT D (DMD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:D
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10045 HAVEN HILL DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-4752
Mailing Address - Country:US
Mailing Address - Phone:859-647-7918
Mailing Address - Fax:
Practice Address - Street 1:4360 FERGUSON DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1682
Practice Address - Country:US
Practice Address - Phone:513-753-6446
Practice Address - Fax:513-943-6124
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH69061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice