Provider Demographics
NPI:1447893870
Name:JAMES KOLBY ROBINSON, DMD
Entity type:Organization
Organization Name:JAMES KOLBY ROBINSON, DMD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:J KOBLY
Authorized Official - Middle Name:ROBINSON
Authorized Official - Last Name:DMD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:541-779-8923
Mailing Address - Street 1:2434 NW PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-3991
Mailing Address - Country:US
Mailing Address - Phone:541-758-3604
Mailing Address - Fax:
Practice Address - Street 1:2434 NW PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-3991
Practice Address - Country:US
Practice Address - Phone:541-758-3604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-17
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental