Roberson, Tiffany Louise
Roberson, Tiffany Louise is an sole proprietor health care provider with primary practice located at 1123 S Main St , Reidsville NC 27320-5340. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Roberson, Tiffany Louise can be contacted via phone (336) 342-1581.Contact Information
Primary practice address
1123 S Main St
Reidsville NC 27320-5340
Phone: (336) 342-1581
Fax: (336) 349-7350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6720 | North Carolina |
Profile Details
| NPI number | 1558476218 |
|---|---|
| LBN Legal business name | Roberson, Tiffany Louise |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558476218 | NPPES |
| North Carolina | MEDICAID | 899005L |
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