J Shane Roberts in Pleasant Grove - General Practice
J Shane Roberts - NPI 1710195466
J Shane Roberts is a General Practice in Pleasant Grove, Alabama. J Shane Roberts practices all healthcare services and medical treatments related to General Practice. The NPI Number for J Shane Roberts is 1710195466. The last update date is 2007-07-08.
J Shane Roberts's current location address is Po Box 445, Pleasant Grove, Alabama. You can contact this provider via phone number 2057444258 and fax number 2057444255. The mailing address for J Shane Roberts is Po Box 445, Pleasant Grove, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | J Shane Roberts |
|---|---|
| Address | Po Box 445, Pleasant Grove, Alabama |
| Phone Number | 2057444258 |
| Fax Number | 2057444255 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1710195466 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 445 |
|---|---|
| City | Pleasant Grove |
| State | Alabama (AL) |
| Post Code | 351270445 |
| Phone Number | 2057444258 |
| Fax Number | 2057444255 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4013 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15995 | AL | BCBS PROVIDER # | |
| 87708 | PA | UNITED CONCORDIA PROV # |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to J Shane Roberts by the Centers for Medicare & Medicaid Services?
The J Shane Roberts has been issued the NPI (National Provider Identifier) 1710195466 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of J Shane Roberts?
The J Shane Roberts is physically situated at Po Box 445, in the city of Pleasant Grove, state of AL, with the postal code 351270445.
What is J Shane Roberts's area of expertise and its corresponding taxonomy classification?
The J Shane Roberts's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1710195466 to J Shane Roberts?
The J Shane Roberts received its 1710195466 assignment from the Centers for Medicare & Medicaid Services on 2007-05-18.
When was the information related to J Shane Roberts most recently updated or refreshed?
The details pertaining to the J Shane Roberts, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC