Individual
JON N ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
124 NE EVELYN AVE STE A-1, GRANTS PASS, OR 97526-1427
(541) 479-9701
(541) 479-1613
Mailing address
124 NE EVELYN AVE STE A-1, GRANTS PASS, OR 97526-1427
(541) 479-9701
(541) 479-1613
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D6895
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1673755
UNITED CONCORDIA TDP
OR
Enumeration date
07/21/2005
Last updated
06/13/2024
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