Roberts, Jerome P

Roberts, Jerome P is an individual health care provider with primary practice located at 9 Main St Suite B, Lincoln ME 04457-1216. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Roberts, Jerome P can be contacted via phone (207) 794-6700.

Contact Information

Primary practice address
9 Main St Suite B Lincoln ME 04457-1216
Phone: (207) 794-6700
Fax: (207) 794-6777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2543 Maine

Profile Details

NPI number 1023231271
LBN Legal business name Roberts, Jerome P
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Nov 16th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023231271 NPPES
Maine MEDICAID 161040200

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