# ROBERTSON FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164972352
- **Authorized official:** DR. ALISON P ROBERTSON DDS (DENTIST)
- **Authorized official phone:** (317) 874-6885

## Contact information

- **Practice address:** 138 W ANGELA BLVD, SOUTH BEND, IN 46617-1101
- **Practice address phone:** (317) 874-6885
- **Mailing address:** 3112 LEXINGTON PARK DR, ELKHART, IN 46514-1167
- **Mailing address phone:** (317) 874-6892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12011017A | IN | Yes |

## Other

- **Enumeration date:** 10/11/2016
- **Last updated:** 10/11/2016