Individual
DR. REESE JOHN ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
102 MASON ST, BREWTON, AL 36426
(251) 867-3273
(251) 867-3274
Mailing address
102 MASON ST, BREWTON, AL 36426-1536
(251) 867-3273
(251) 867-3274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3697
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
630821835
TAX IDENTIFICATION NUMBER
AL
Enumeration date
04/18/2007
Last updated
07/08/2007
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