Provider Demographics
NPI:1457427122
Name:ROBINSON, KARL D (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:D
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 1:1414 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:KEMMERER
Mailing Address - State:WY
Mailing Address - Zip Code:83101-3517
Mailing Address - Country:US
Mailing Address - Phone:307-877-3157
Mailing Address - Fax:307-877-3359
Practice Address - Street 1:1414 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:KEMMERER
Practice Address - State:WY
Practice Address - Zip Code:83101-3517
Practice Address - Country:US
Practice Address - Phone:307-877-3157
Practice Address - Fax:307-877-3359
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY9371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice