J Keith Roberts D.D.S.

NPI 1063596633 - Dentist - 1223P0221X

NPI Details
NPI 1063596633
Gender Male
Enumeration Date 10/24/2006
Last Updated 09/04/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
828 S AUTO MALL RD
BLOOMINGTON IN, 47401-5430, US
Phone (812) 333-5437
Fax (812) 333-6305
Business Location
828 S AUTO MALL RD
BLOOMINGTON IN, 47401-5430, US
Phone (812) 333-5437
Fax (812) 333-6305
Toxanomy
Taxonomy Code 1223P0221X
License State Indiana
License Number 12005978A
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According to our database, Dr. J Keith Roberts D.D.S. NPI is 1063596633, taxonomy code is 1223P0221X and license number is 12005978A, license state is located at Indiana. J Keith Roberts D.D.S. physically located at 828 S Auto Mall Rd, Bloomington IN, 47401-5430. NPI Number J Keith Roberts D.D.S. has the Individual type.

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1063596633 NPI number is provided on an as is basis without warranty of any kind. 1063596633 is maintained by the National Plan & Provider Enumeration System. The contents of J Keith Roberts D.D.S. are for informational purposes only.