Provider Demographics
NPI:1720368715
Name:LETOIYA CARTER-ROBINSON DDS, LLC
Entity Type:Organization
Organization Name:LETOIYA CARTER-ROBINSON DDS, LLC
Other - Org Name:CAPTIVATING SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT-CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LETOIYA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CARTER-ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-852-0323
Mailing Address - Street 1:2580 LAKE COMMONS CT
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6449
Mailing Address - Country:US
Mailing Address - Phone:678-852-0323
Mailing Address - Fax:
Practice Address - Street 1:2118 SCENIC HWY N STE D
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6197
Practice Address - Country:US
Practice Address - Phone:678-852-0323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty