# KENNETH W ROBERTS, DDS, PC

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

## Provider details

- **NPI number:** 1326592312
- **Authorized official:** DR. KENNETH ROBERTS DDS (OWNER)
- **Authorized official phone:** (248) 486-1730

## Contact information

- **Practice address:** 546 N LAFAYETTE ST, SOUTH LYON, MI 48178-2000
- **Practice address phone:** (248) 486-1730
- **Mailing address:** 546 N LAFAYETTE ST, SOUTH LYON, MI 48178-2000
- **Mailing address phone:** (248) 486-1730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 013871 | MI | Yes |

## Other

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