Provider Demographics
NPI:1023159068
Name:ROBINSON, ELI W (DDS)
Entity type:Individual
Prefix:DR
First Name:ELI
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 1:2303 N PARHAM RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-3102
Mailing Address - Country:US
Mailing Address - Phone:804-346-9049
Mailing Address - Fax:804-747-0119
Practice Address - Street 1:2303 N PARHAM RD
Practice Address - Street 2:SUITE 5
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-3102
Practice Address - Country:US
Practice Address - Phone:804-346-9049
Practice Address - Fax:804-747-0119
Is Sole Proprietor?:No
Enumeration Date:2007-02-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010057631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice