# RANDOLPH C ROBINSON MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Robinson Cosmetic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629330683
- **Authorized official:** DR. RANDOLPH C ROBINSON M.D., DDS (SOLE PROPRIETOR)
- **Authorized official phone:** (303) 792-2828

## Contact information

- **Practice address:** 10375 PARK MEADOWS DR, SUITE 150, LONE TREE, CO 80124-6735
- **Practice address phone:** (303) 792-2828
- **Practice address fax:** (303) 792-3328
- **Mailing address:** 10375 PARK MEADOWS DR, SUITE 150, LONE TREE, CO 80124-6735
- **Mailing address phone:** (303) 792-2828
- **Mailing address fax:** (303) 792-3328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6757 | CO | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 6757 | CO | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 31972 | CO | Yes |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | 31972 | CO | — |

## Other

- **Enumeration date:** 06/14/2012
- **Last updated:** 08/27/2014