Individual
CHAD ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1516 NE 96TH ST, LIBERTY, MO 64068-1348
(816) 741-1155
Mailing address
1516 NE 96TH ST, LIBERTY, MO 64068-1348
(816) 741-1155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10198
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2025029357
MO
Other
Enumeration date
06/08/2022
Last updated
01/06/2026
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