Roberts Dental Group LLC

NPI #1811601800 in Kokomo, Indiana

Provider Information

NPI Number: 1811601800
Entity Type: Organization
Organization Name: Roberts Dental Group LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 13, 2023
Last Updated: Jan 13, 2023

Practice Location

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

Authorized Official

Name: DR. JUSTIN LEVI ROBERTS, DDS
Title: OWNER
Phone: (765) 455-1222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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