Loren Robinson, D.M.D.
Individual provider Active NPI Dentist · Union, MS
NPI 1487092003 · NPPES record last updated Apr 5, 2021
Key facts
- NPI
- 1487092003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 3702-13 (MS)
- Practice address
- 101 Park St
Union, MS 39365-2130 - Phone
- (601) 774-8252
- NPI assigned
- Jun 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3702-13 | MS | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3702-13 | MS | Yes |
Addresses
Primary practice location
101 Park St
Union, MS 39365-2130
Mailing address
101 Park St
Union, MS 39365-2130
Phone (601) 774-8252
Other providers in Union, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.