Individual
MARTIN W ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
310 SIMMONS RD, STE. I, KNOXVILLE, TN 37922-1943
(865) 675-3009
(865) 675-3028
Mailing address
310 SIMMONS RD, SUITE I, KNOXVILLE, TN 37922-1943
(865) 675-3009
(865) 675-3028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3575
AR
122300000X
Dentist
Primary
8949
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
UPIN
—
Enumeration date
09/12/2007
Last updated
06/10/2013
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