Bingham, Robin T

Bingham, Robin T is an individual health care provider with primary practice located at 1380 Milstead Ave Suite A, Conyers GA 30012. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bingham, Robin T can be contacted via phone (770) 602-1138.

Contact Information

Primary practice address
1380 Milstead Ave Suite A Conyers GA 30012
Fax: (770) 602-1461
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN012517 Georgia

Profile Details

NPI number 1679677728
LBN Legal business name Bingham, Robin T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Nov 14th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679677728 NPPES
Georgia MEDICAID 000947042F

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