# THOMAS C. ROBERTS, JR., DMD, PC

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

## Provider details

- **NPI number:** 1710991062
- **Authorized official:** DR. THOMAS C. ROBERTS JR. DMD (PRESIDENT)
- **Authorized official phone:** (703) 360-6455

## Contact information

- **Practice address:** 8101 HINSON FARM RD, SUITE \#216, ALEXANDRIA, VA 22306-3403
- **Practice address phone:** (703) 360-6455
- **Practice address fax:** (703) 360-6456
- **Mailing address:** 8101 HINSON FARM RD, SUITE \#216, ALEXANDRIA, VA 22306-3403
- **Mailing address phone:** (703) 360-6455
- **Mailing address fax:** (703) 360-6456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 03690021 | VA | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 04/20/2015