Provider Demographics
NPI:1730232703
Name:ROBISON, JOHN F (DMD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:ROBISON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 RADNOR RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-7987
Mailing Address - Country:US
Mailing Address - Phone:814-237-2291
Mailing Address - Fax:814-237-6755
Practice Address - Street 1:110 RADNOR RD
Practice Address - Street 2:SUITE 201
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-7987
Practice Address - Country:US
Practice Address - Phone:814-237-2291
Practice Address - Fax:814-237-6755
Is Sole Proprietor?:No
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020716L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice