Provider Demographics
NPI:1700133840
Name:ROBINSON, LEMARCEL M (DDS)
Entity Type:Individual
Prefix:
First Name:LEMARCEL
Middle Name:M
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 1:233 W. PLEASANT ST.
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45506
Mailing Address - Country:US
Mailing Address - Phone:937-324-5371
Mailing Address - Fax:937-324-4608
Practice Address - Street 1:233 W. PLEASANT ST.
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45506
Practice Address - Country:US
Practice Address - Phone:937-324-5371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH23579122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice