Provider Demographics
NPI:1053573220
Name:BRIGITTE E. ROBINSON, D.D.S., P.C.
Entity type:Organization
Organization Name:BRIGITTE E. ROBINSON, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIGITTE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-641-2994
Mailing Address - Street 1:2426 S CARRIER PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-3805
Mailing Address - Country:US
Mailing Address - Phone:972-641-2994
Mailing Address - Fax:972-641-3063
Practice Address - Street 1:2426 S CARRIER PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-3805
Practice Address - Country:US
Practice Address - Phone:972-641-2994
Practice Address - Fax:972-641-3063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14240261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental