Dr Jon M. Roberts Family Dentistry Pc | |
2320 Northpark Suite C. Columbus IN 47203-4482 | |
(812) 379-9561 | |
(812) 372-8157 |
Full Name | Dr Jon M. Roberts Family Dentistry Pc |
---|---|
Speciality | Dentist |
Location | 2320 Northpark Suite C., Columbus, Indiana |
Authorized Official Name and Position | Jon M. Roberts (PRESIDENT/DENTIST) |
Authorized Official Contact | 8123799561 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr Jon M. Roberts Family Dentistry Pc 2320 Northpark Suite C. Columbus IN 47203-4482 Ph: (812) 379-9561 | Dr Jon M. Roberts Family Dentistry Pc 2320 Northpark Suite C. Columbus IN 47203-4482 Ph: (812) 379-9561 |
NPI Number | 1952783722 |
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Provider Enumeration Date | 06/29/2015 |
Last Update Date | 06/29/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952783722 | NPI | - | NPPES |
100052120A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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