Provider Demographics
NPI:1487883757
Name:LINDA ROBINSON DENTAL
Entity type:Organization
Organization Name:LINDA ROBINSON DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:413-587-0888
Mailing Address - Street 1:380 RUSSELL ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-9538
Mailing Address - Country:US
Mailing Address - Phone:413-587-0888
Mailing Address - Fax:413-587-0808
Practice Address - Street 1:380 RUSSELL ST
Practice Address - Street 2:SUITE 101
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9538
Practice Address - Country:US
Practice Address - Phone:413-587-0888
Practice Address - Fax:413-587-0808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-08
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA185171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty