Robert James Robertson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5827 Issued in MD

Practice address

1246 Maryland Ave
Hagerstown, MD 21740

Phone

(301) 797-7078

Fax

(301) 797-7092

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235254038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19844 COOL HOLLOW RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217401532",
            "telephone_number": "301-797-0307",
            "fax_number": "301-791-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 MARYLAND AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "301-797-7078",
            "fax_number": "301-797-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "5827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Roberts, PHYSICAL THERAPIST
• August William Robertson, CST
• Lanorvell Robertson, CRNA
• Logan Harrison Robertson
• Maecy C Robertson
• Bianca Robinson, CRNP
• Billie Jo Robinson, R.N.
• Corvin Robinson, MD
• Dianna Lynnee Robinson, M.D.
• Robinwood Dental Center, PC

• General Practice Dentistry in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.