# FLUELLEN ROBERTS FAMILY DENTISTRY, PLLC

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

## Provider details

- **NPI number:** 1811407828
- **Authorized official:** DR. MATTHEW B ROBERTS II DDS (OWNER)
- **Authorized official phone:** (972) 231-8241

## Contact information

- **Practice address:** 1050 W CAMPBELL RD STE 200, RICHARDSON, TX 75080-2981
- **Practice address phone:** (972) 231-8241
- **Practice address fax:** (972) 231-8261
- **Mailing address:** 1050 W CAMPBELL RD STE 200, RICHARDSON, TX 75080-2981
- **Mailing address phone:** (972) 231-8241
- **Mailing address fax:** (972) 231-8261

## Taxonomy

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

## Other

- **Enumeration date:** 10/04/2017
- **Last updated:** 10/04/2017
