Justin L Roberts, D.D.S.

NPI #1699065862 in Kokomo, Indiana

Provider Information

NPI Number: 1699065862
Entity Type: Individual
Name: Justin L Roberts, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 8, 2011
Last Updated: Dec 22, 2020

Practice Location

Address: 3415 S LAFOUNTAIN ST STE I
City: Kokomo
State: Indiana
ZIP Code: 46902-3826
Phone: (765) 455-1222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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