# DR. MARY ELIZABETH ROBERTS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1245779479
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401006046 | VA | — |
| 122300000X | Dentist | 22DI01537400 | NJ | Yes |
| 122300000X | Dentist | 2742-15 | WI | — |

## Other

- **Enumeration date:** 02/21/2017
- **Last updated:** 02/21/2017