Individual
DR. GLORIA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
12611 ANTIOCH RD, OVERLAND PARK, KS 66213-1701
(913) 685-9111
(913) 685-8486
Mailing address
12611 ANTIOCH RD, OVERLAND PARK, KS 66213-1701
(913) 685-9111
(913) 685-8486
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6166
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13970060
BCBS KANSAS CITY
KS
05
—
20373230A
—
KS
01
—
808110
UNITED CONCORDIA
KS
Enumeration date
03/20/2007
Last updated
07/08/2007
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