Provider Demographics
NPI:1801556477
Name:ROBINSON AND MALONE DENTISTRY PLLC
Entity type:Organization
Organization Name:ROBINSON AND MALONE DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:S HAMBLEN
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:806-794-1131
Mailing Address - Street 1:4215 85TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1931
Mailing Address - Country:US
Mailing Address - Phone:806-794-1131
Mailing Address - Fax:806-794-1103
Practice Address - Street 1:4215 85TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1931
Practice Address - Country:US
Practice Address - Phone:806-794-1131
Practice Address - Fax:806-794-1103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty