Provider Demographics
NPI:1669434676
Name:ROBSON, HENRY POSTLETHWAITE III (MD, DMD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:POSTLETHWAITE
Last Name:ROBSON
Suffix:III
Gender:M
Credentials:MD, DMD
Other - Prefix:
Other - First Name:SCOTT
Other - Middle Name:P
Other - Last Name:ROBSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2780 AL HIGHWAY 157
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35058-1571
Mailing Address - Country:US
Mailing Address - Phone:256-734-9899
Mailing Address - Fax:256-734-9899
Practice Address - Street 1:2780 AL HIGHWAY 157
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-1571
Practice Address - Country:US
Practice Address - Phone:256-734-9899
Practice Address - Fax:256-734-9899
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL47351223S0112X
AL16020204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL33863OtherBLUE CROSS BLUE SHIELD AL
AL5205232OtherAETNA
AL000033863Medicaid
AL876237OtherUNITED CONCORDIA
AL5205232OtherAETNA