Roberts, Jada

Roberts, Jada is an individual health care provider with primary practice located at 1102 N Wabash Ave , Marion IN 46952-2510. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Roberts, Jada can be contacted via phone (765) 673-0633.

Contact Information

Primary practice address
1102 N Wabash Ave Marion IN 46952-2510
Phone: (765) 673-0633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12012082A Indiana
Dental Providers / Pediatric Dentistry 1223P0221X 12012082A Indiana

Profile Details

NPI number 1588072045
LBN Legal business name Roberts, Jada
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2014
Last updated Dec 20th, 2021 - about 5 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.

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