Raenie Roberts in Prosper - Orthodontics And Dentofacial Orthopedics
Raenie Roberts - NPI 1053479626
Raenie Roberts is a Orthodontics And Dentofacial Orthopedics in Prosper, Texas. Raenie Roberts practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Raenie Roberts is 1053479626. The last update date is 2009-09-04.
Raenie Roberts's current location address is 2440 East Prosper Trail, Prosper, Texas. You can contact this provider via phone number 9723476444 and fax number 9723476408. The mailing address for Raenie Roberts is 2440 East Prosper Trail, Prosper, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raenie Roberts |
|---|---|
| Address | 2440 East Prosper Trail, Prosper, Texas |
| Phone Number | 9723476444 |
| Fax Number | 9723476408 |
| Sole Proprietor | N |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1053479626 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2009-09-04 |
Provider Mailing Address Detail
| Address | 2440 East Prosper Trail |
|---|---|
| City | Prosper |
| State | Texas (TX) |
| Post Code | 75078 |
| Phone Number | 9723476444 |
| Fax Number | 9723476408 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 21466 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique identification code assigned to Raenie Roberts by the Centers for Medicare & Medicaid Services?
The Raenie Roberts has been issued the NPI (National Provider Identifier) 1053479626. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Raenie Roberts?
The Raenie Roberts is physically situated at 2440 East Prosper Trail, in the city of Prosper, state of TX, with the postal code 75078.
What is the Raenie Roberts's specialty and taxonomy code?
The Raenie Roberts's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
When was the Raenie Roberts's 1053479626 issued?
The Raenie Roberts's 1053479626 was issued on 2006-12-05.
When was the information regarding Raenie Roberts most recently updated?
The details pertaining to the Raenie Roberts, including its address, specialty, and other relevant information, were last refreshed on 2009-09-04.
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