Individual
DR. JOHN DAVID ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2440 EAST PROSPER TRAIL, PROSPER, TX 75078
(972) 347-6444
(972) 347-6408
Mailing address
2440 EAST PROSPER TRAIL, PROSPER, TX 75078
(972) 347-6444
(972) 347-6408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22822
TX
1223G0001X
General Practice Dentistry
22822
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183632211
—
TX
Enumeration date
04/20/2007
Last updated
11/30/2010
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