Dr. Tony Roberts D.D.S. Llc

LBN: Dr. Tony Roberts D.D.S. Llc
Dr. Tony Roberts D.D.S. Llc is an health care organization with primary practice located at 517 W 5Th St Ste 106, Pueblo CO 81003-3185. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dr. Tony Roberts D.D.S. Llc can be contacted via phone (719) 542-6014, or through Roberts, Tony Leon via phone (719) 542-6014.

Contact Information

Primary practice address
517 W 5Th St Ste 106 Pueblo CO 81003-3185
Phone: (719) 542-6014
Fax: (719) 583-7937
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Tony Leon Doctor of Dental Surgery (DDS)
Phone: (719) 542-6014

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 105202 Colorado

Profile Details

NPI number 1871777136
LBN Legal business name Dr. Tony Roberts D.D.S. Llc
DBA Doing business as
Authorized official Roberts, Tony Leon Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2007
Last updated Aug 9th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871777136 NPPES
Colorado MEDICAID 02052025
Colorado MEDICAID 46201751

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