Organization
ROBERSON FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN WILLIS ROBERSON SR. DDS (PRESIDENT)
(504) 452-5122
Entity
Organization
Contact information
Practice address
1740 BIG SPRINGS RD, MARYVILLE, TN 37801-8206
(865) 681-7645
Mailing address
2001 CAWOOD FALLS LN, KNOXVILLE, TN 37931-4065
(504) 452-5122
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8949
TN
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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