Jennifer Roberts is a Dentist in South Bend, Indiana. Jennifer Roberts practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jennifer Roberts is 1609092170. The last update date is 2015-04-01.
Jennifer Roberts's current location address is 1605 N Ironwood Dr, South Bend, Indiana. You can contact this provider via phone number 5742719693 and fax number 5742719719. The mailing address for Jennifer Roberts is 1605 N Ironwood Dr, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Roberts |
|---|---|
| Address | 1605 N Ironwood Dr, South Bend, Indiana |
| Phone Number | 5742719693 |
| Fax Number | 5742719719 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1609092170 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2015-04-01 |
Provider Mailing Address Detail
| Address | 1605 N Ironwood Dr |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466351843 |
| Phone Number | 5742719693 |
| Fax Number | 5742719719 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12010690A |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Roberts by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer Roberts has been assigned the NPI (National Provider Identifier) 1609092170. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Jennifer Roberts is physically located?
The Jennifer Roberts is situated at the following address: 1605 N Ironwood Dr, South Bend, IN 466351843.
What is the area of specialization for Jennifer Roberts, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Roberts is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Jennifer Roberts receive its 1609092170 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Roberts was assigned its 1609092170 by the Centers for Medicare & Medicaid Services on 2007-04-17.
When was the information regarding Jennifer Roberts most recently updated?
The details pertaining to the Jennifer Roberts, including its address, specialty, and other relevant information, were last refreshed on 2015-04-01.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC