Individual
DR. JOHN ROBINSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1111 5TH AVE NORTH, COLUMBUS, MS 39701
(662) 328-7941
(662) 328-4789
Mailing address
1111 5TH AVE NORTH, COLUMBUS, MS 39701
(662) 328-7941
(662) 328-4789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1914-80
MS
1223G0001X
General Practice Dentistry
Primary
1914-80
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00064863
—
MS
Enumeration date
09/13/2006
Last updated
01/12/2017
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