J. Shane Roberts Family Dentistry | |
904 4th St Pleasant Grove AL 35127-1059 | |
(205) 744-4258 | |
(205) 744-4255 |
Full Name | J. Shane Roberts Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 904 4th St, Pleasant Grove, Alabama |
Authorized Official Name and Position | Jerry Shane Roberts (DENTIST) |
Authorized Official Contact | 2057444258 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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J. Shane Roberts Family Dentistry Po Box 445 Pleasant Grove AL 35127-0445 Ph: (205) 744-4258 | J. Shane Roberts Family Dentistry 904 4th St Pleasant Grove AL 35127-1059 Ph: (205) 744-4258 |
NPI Number | 1861910036 |
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Provider Enumeration Date | 09/07/2017 |
Last Update Date | 09/07/2017 |
Identifier | Type | State | Issuer |
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1861910036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 4013 (Alabama) | Primary |