Provider Demographics
NPI:1952307290
Name:ROBINSON, TIM W (DDS)
Entity Type:Individual
Prefix:DR
First Name:TIM
Middle Name:W
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12740 HILLCREST RD
Mailing Address - Street 2:STE 165
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-7117
Mailing Address - Country:US
Mailing Address - Phone:972-960-0671
Mailing Address - Fax:
Practice Address - Street 1:12740 HILLCREST RD
Practice Address - Street 2:STE 165
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-7117
Practice Address - Country:US
Practice Address - Phone:972-960-0671
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX146851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice