Jennifer Roberts DDS

NPI 1609092170 - Dentist - 122300000X

NPI Details
NPI 1609092170
Gender Female
Enumeration Date 04/17/2007
Last Updated 04/01/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1605 N IRONWOOD DR
SOUTH BEND IN, 46635-1843, US
Phone (574) 271-9693
Fax (574) 271-9719
Business Location
1605 N IRONWOOD DR
SOUTH BEND IN, 46635-1843, US
Phone (574) 271-9693
Fax (574) 271-9719
Toxanomy
Taxonomy Code 122300000X
License State Indiana
License Number 12010690A
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According to our database, Dr. Jennifer Roberts DDS NPI is 1609092170, taxonomy code is 122300000X and license number is 12010690A, license state is located at Indiana. Jennifer Roberts DDS physically located at 1605 N Ironwood Dr, South Bend IN, 46635-1843. NPI Number Jennifer Roberts DDS has the Individual type.

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1609092170 NPI number is provided on an as is basis without warranty of any kind. 1609092170 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Roberts DDS are for informational purposes only.