Roberts Family Dental, Pc

LBN: Roberts Family Dental, Pc
Roberts Family Dental, Pc is an health care organization with primary practice located at 3660 Flat Shoals Road Suite 100, Decatur GA 30034-1632. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dental Hygienist. Dental Providers / Dentist is the primary health care specialty. Roberts Family Dental, Pc can be contacted via phone (404) 243-0217, or through Roberts, Resa Johnelle via phone (404) 556-1393.

Contact Information

Primary practice address
3660 Flat Shoals Road Suite 100 Decatur GA 30034-1632
Phone: (404) 243-0217
Fax: (404) 243-9313
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Resa Johnelle
Phone: (404) 556-1393

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN010168 Georgia
Dental Providers / Dentist 122300000X DN012459 Georgia
Dental Providers / Dentist 122300000X DN013502 Georgia
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN056718 Georgia
Dental Providers / Dental Hygienist 124Q00000X DH007395 Georgia

Profile Details

NPI number 1013086248
LBN Legal business name Roberts Family Dental, Pc
DBA Doing business as
Authorized official Roberts, Resa Johnelle
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Sep 29th, 2010 - about 16 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 1013086248 NPPES
Georgia Other 559391 UCCI - ROBERTS

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