| Dr J Shane Roberts, DMD | |
|
904 4th St, Pleasant Grove, AL 35127-1059 | |
| (205) 744-4258 | |
| (205) 744-4255 |
| Full Name | Dr J Shane Roberts |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 904 4th St, Pleasant Grove, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710195466 | NPI | - | NPPES |
| 15995 | Other | AL | BCBS PROVIDER # |
| 87708 | Other | PA | UNITED CONCORDIA PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4013 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr J Shane Roberts, DMD Po Box 445, Pleasant Grove, AL 35127-0445 Ph: (205) 744-4258 | Dr J Shane Roberts, DMD 904 4th St, Pleasant Grove, AL 35127-1059 Ph: (205) 744-4258 |
Dr. Kenneth T. Usry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 717 1st Ter, Pleasant Grove, AL 35127 Phone: 205-744-4044 | |
Dr. Ray Merrill Iii, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 901 4th St, Pleasant Grove, AL 35127 Phone: 205-744-8890 | |
Dr. Jeffery Jack Solomon, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 27 Park Rd, Suite 900, Pleasant Grove, AL 35127 Phone: 205-781-5599 Fax: 205-781-5578 |