Individual
DR. RICHARD DAVID ROBLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
162 E SUNBRIDGE DR, FAYETTEVILLE, AR 72703-2830
(479) 521-6060
(479) 521-4161
Mailing address
162 E SUNBRIDGE DR, FAYETTEVILLE, AR 72703-2830
(479) 521-6060
(479) 521-4161
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
14242
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2720
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155641608
—
AR
05
—
200046140 A
—
OK
05
—
200046150 A
—
OK
01
—
58127
RDR BCBS ID
AR
01
—
5F054
BCBS GROUP ID
AR
01
—
887681
UNITED CONCORDIA ID
AR
Enumeration date
04/26/2007
Last updated
04/03/2019
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