Provider Demographics
NPI:1972530582
Name:ROBISON, EDWARD RALPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:RALPH
Last Name:ROBISON
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 1:101 SMITH DR
Mailing Address - Street 2:STE 2
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-4129
Mailing Address - Country:US
Mailing Address - Phone:724-776-4250
Mailing Address - Fax:724-776-5048
Practice Address - Street 1:101 SMITH DR
Practice Address - Street 2:SUITE #2
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-4129
Practice Address - Country:US
Practice Address - Phone:724-776-4250
Practice Address - Fax:724-776-5048
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-023156-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist