Individual
DR. MICHAEL WELLS ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSCD
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0023
NC
1223P0221X
Pediatric Dentistry
21748
CA
1223P0221X
Pediatric Dentistry
8083
TX
1223P0221X
Pediatric Dentistry
DEN157
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-97452
—
NC
01
—
97452
BCBS
—
05
—
ZZ5138
—
SC
Enumeration date
07/24/2006
Last updated
01/31/2014
Update your record
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