Jack Roberts is a Dentist in Austin, Texas. Jack Roberts practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jack Roberts is 1932311164. The last update date is 2007-07-08.
Jack Roberts's current location address is 4409 Pack Saddle Pass, Austin, Texas. You can contact this provider via phone number 5124441871. The mailing address for Jack Roberts is 4409 Pack Saddle Pass, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Roberts |
|---|---|
| Address | 4409 Pack Saddle Pass, Austin, Texas |
| Phone Number | 5124441871 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1932311164 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4409 Pack Saddle Pass |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787451623 |
| Phone Number | 5124441871 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9944 |
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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 Jack Roberts by the Centers for Medicare & Medicaid Services (CMS)?
The Jack Roberts has been assigned the NPI (National Provider Identifier) 1932311164. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jack Roberts is physically located?
The Jack Roberts is physically situated at the following address: 4409 Pack Saddle Pass, Austin, TX, 787451623.
What is Jack Roberts's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack Roberts's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Jack Roberts receive the assignment of its 1932311164 from the Centers for Medicare & Medicaid Services?
The Jack Roberts was issued its 1932311164 by the Centers for Medicare & Medicaid Services on 2007-05-03.
When was the information regarding Jack Roberts, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jack Roberts, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.