Provider Demographics
NPI:1043348923
Name:ROBINSON, LINWOOD ASHWELL JR (DMD)
Entity type:Individual
Prefix:DR
First Name:LINWOOD
Middle Name:ASHWELL
Last Name:ROBINSON
Suffix:JR
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:PO BOX 398
Mailing Address - Street 2:
Mailing Address - City:SUMMERTON
Mailing Address - State:SC
Mailing Address - Zip Code:29148-0398
Mailing Address - Country:US
Mailing Address - Phone:803-485-8521
Mailing Address - Fax:803-485-2051
Practice Address - Street 1:9 SOUTH DUKE STREET
Practice Address - Street 2:
Practice Address - City:SUMMERTON
Practice Address - State:SC
Practice Address - Zip Code:29148
Practice Address - Country:US
Practice Address - Phone:803-485-8521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAR6671196122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI219613OtherPROVIDER ID
SCAR6671196OtherDEA