DR. Jack Roberts, DDS

NPI #1932311164 in Austin, Texas

Provider Information

NPI Number: 1932311164
Entity Type: Individual
Name: DR. Jack Roberts, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4409 PACK SADDLE PASS
City: Austin
State: Texas
ZIP Code: 78745-1623
Phone: (512) 444-1871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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