# DR. AUSTIN ROBERTS FAMILY AND IMPLANT DENTISTRY, PLLC

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

## Provider details

- **NPI number:** 1326406158
- **Authorized official:** DR. AUSTIN ROBERTS D.D.S. (OWNER)
- **Authorized official phone:** (423) 645-7678

## Contact information

- **Practice address:** 6107 OOLTEWAH GEORGETOWN RD, OOLTEWAH, TN 37363-5656
- **Practice address phone:** (423) 713-5555
- **Mailing address:** 6107 OOLTEWAH GEORGETOWN RD, OOLTEWAH, TN 37363-5656
- **Mailing address phone:** (423) 713-5555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 9323 | TN | Yes |

## Other

- **Enumeration date:** 02/08/2016
- **Last updated:** 02/08/2016