Kristie Ann Roberts in Pine City - General Practice

Kristie Ann Roberts - NPI 1053372656

Kristie Ann Roberts is a General Practice in Pine City, Minnesota. Kristie Ann Roberts practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kristie Ann Roberts is 1053372656. The last update date is 2007-07-08.

Kristie Ann Roberts's current location address is 1105 Hillside Ave Sw, Pine City, Minnesota. You can contact this provider via phone number 3206292789 and fax number 3206291330. The mailing address for Kristie Ann Roberts is 1105 Hillside Ave Sw, Pine City, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristie Ann Roberts
Address 1105 Hillside Ave Sw, Pine City, Minnesota
Phone Number 3206292789
Fax Number 3206291330
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1053372656
Provider Enumeration Date 2006-03-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1105 Hillside Ave Sw
City Pine City
State Minnesota (MN)
Post Code 55063
Phone Number 3206292789
Fax Number 3206291330

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D10870
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HP28208 MN HEALTH PARTNERS

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FAQs about Kristie Ann Roberts

What is the unique 10-digit identification code issued to Kristie Ann Roberts by the Centers for Medicare & Medicaid Services?

The Kristie Ann Roberts has been assigned the NPI (National Provider Identifier) 1053372656 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Kristie Ann Roberts is geographically located?

The Kristie Ann Roberts is physically situated at the following location: 1105 Hillside Ave Sw, Pine City, MN, 55063.

What is the Kristie Ann Roberts's specialty and taxonomy code?

The Kristie Ann Roberts's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date was the 1053372656 assigned to Kristie Ann Roberts?

The Kristie Ann Roberts was issued its 1053372656 on 2006-03-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Kristie Ann Roberts most recently updated or revised?

The details related to Kristie Ann Roberts, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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