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Individual

DR. JEROME P ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
9 MAIN ST, SUITE B, LINCOLN, ME 04457-1216
(207) 794-6700
(207) 794-6777
Mailing address
PO BOX 99, LINCOLN, ME 04457-0099
(207) 794-6700
(207) 794-6777

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2543
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
161040200
ME
Enumeration date
04/10/2007
Last updated
11/16/2009
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