Provider Demographics
NPI:1821299645
Name:ROBBIE R. ATKINSON, DDS,MD,LTD.
Entity type:Organization
Organization Name:ROBBIE R. ATKINSON, DDS,MD,LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIQUINTA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PIPES
Authorized Official - Suffix:
Authorized Official - Credentials:RDA, OM
Authorized Official - Phone:870-534-7860
Mailing Address - Street 1:1801 W 40TH AVE
Mailing Address - Street 2:STE. 2-A
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-6940
Mailing Address - Country:US
Mailing Address - Phone:870-534-7860
Mailing Address - Fax:870-534-5327
Practice Address - Street 1:1801 W 40TH AVE
Practice Address - Street 2:STE. 2-A
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-6940
Practice Address - Country:US
Practice Address - Phone:870-534-7860
Practice Address - Fax:870-534-5327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC5909305R00000X
AR2328302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR2328OtherDENTIST
ARC5909OtherMEDICAL LICENSE
AR50161OtherBCBS PROVIDER