Organization
DAVID S. ROBERTS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S. ROBERTS DDS (PRESIDENT)
(801) 566-9380
Entity
Organization
Contact information
Practice address
7555 CENTER VIEW CT, SUITE 201, WEST JORDAN, UT 84084-1970
(801) 566-9380
Mailing address
7555 CENTER VIEW CT, SUITE 201, WEST JORDAN, UT 84084-1970
(801) 566-9380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1438779922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00626529
UNITED CONCORDIA INS
UT
01
—
2243877UT
DELTA DENTAL OF NJ
UT
05
—
552172150018
—
UT
Enumeration date
03/20/2007
Last updated
08/22/2020
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