Roger William Roubal in Omaha - General Practice

Roger William Roubal - NPI 1215014998

Roger William Roubal is a General Practice in Omaha, Nebraska. Roger William Roubal practices all healthcare services and medical treatments related to General Practice. The NPI Number for Roger William Roubal is 1215014998. The last update date is 2007-07-08.

Roger William Roubal's current location address is 11919 Grant St, Omaha, Nebraska. You can contact this provider via phone number 4024934175 and fax number 4024939273. The mailing address for Roger William Roubal is 11919 Grant St, Omaha, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Roger William Roubal
Address 11919 Grant St, Omaha, Nebraska
Phone Number 4024934175
Fax Number 4024939273
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1215014998
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11919 Grant St
City Omaha
State Nebraska (NE)
Post Code 681643475
Phone Number 4024934175
Fax Number 4024939273

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 4339
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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FAQs about Roger William Roubal

What is the unique provider identifier assigned to Roger William Roubal?

The Roger William Roubal has been issued the NPI (National Provider Identifier) 1215014998 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Roger William Roubal?

The Roger William Roubal is physically situated at 11919 Grant St, in the city of Omaha, state of NE, with the postal code 681643475.

What is Roger William Roubal's specialized field of practice, and what is the corresponding taxonomy classification code?

The Roger William Roubal's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Roger William Roubal receive its 1215014998 assignment from the Centers for Medicare & Medicaid Services?

The Roger William Roubal was assigned its 1215014998 by the Centers for Medicare & Medicaid Services on 2006-11-01.

As of what date were the details pertaining to Roger William Roubal last refreshed?

The information related to the Roger William Roubal, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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