Provider Demographics
NPI:1528286952
Name:ROBINSON, MELANIE DANIELLE (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:DANIELLE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3305 NORTHLAND DR STE 204
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-5011
Mailing Address - Country:US
Mailing Address - Phone:512-377-5656
Mailing Address - Fax:512-377-5657
Practice Address - Street 1:3305 NORTHLAND DR STE 204
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-5011
Practice Address - Country:US
Practice Address - Phone:512-377-5656
Practice Address - Fax:512-377-5657
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205531223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics