Charles Waitsel Roberts in Mooresville - Pediatric Dentistry

Charles Waitsel Roberts - NPI 1003021908

Charles Waitsel Roberts is a Pediatric Dentistry in Mooresville, North Carolina. Charles Waitsel Roberts practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Charles Waitsel Roberts is 1003021908. The last update date is 2007-07-09.

Charles Waitsel Roberts's current location address is 142 Professional Park Dr, Mooresville, North Carolina. You can contact this provider via phone number 7046645437 and fax number 7046637912. The mailing address for Charles Waitsel Roberts is 142 Professional Park Dr, Mooresville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Waitsel Roberts
Address 142 Professional Park Dr, Mooresville, North Carolina
Phone Number 7046645437
Fax Number 7046637912
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1003021908
Provider Enumeration Date 2007-05-14
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 142 Professional Park Dr
City Mooresville
State North Carolina (NC)
Post Code 281175537
Phone Number 7046645437
Fax Number 7046637912

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 7023
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5902375 NC --

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FAQs about Charles Waitsel Roberts

What is the unique identification code assigned to Charles Waitsel Roberts by the Centers for Medicare & Medicaid Services?

The Charles Waitsel Roberts has been issued the NPI (National Provider Identifier) 1003021908. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Charles Waitsel Roberts's physical address?

The Charles Waitsel Roberts is physically located at 142 Professional Park Dr, in the city of Mooresville, NC, with the postal code 281175537.

What is Charles Waitsel Roberts's specialized field of practice, and what is the corresponding taxonomy classification code?

The Charles Waitsel Roberts's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

On what date was the 1003021908 assigned to Charles Waitsel Roberts?

The Charles Waitsel Roberts was issued its 1003021908 on 2007-05-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Charles Waitsel Roberts's details last updated?

The information pertaining to the Charles Waitsel Roberts, including its address, specialty, and other details, was most recently updated on 2007-07-09.

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