Individual
DR. JOHN RANDALL ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
724 N GRAND AVE, CONNERSVILLE, IN 47331-2015
(765) 825-2051
(765) 825-2091
Mailing address
724 N GRAND AVE, CONNERSVILLE, IN 47331-2015
(765) 825-2051
(765) 825-2091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008137
IN
Other
Enumeration date
12/27/2006
Last updated
07/09/2007
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