Individual
DR. STEVEN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1430 JOHN WESLEY GILBERT DRIVE, GC-1024, AUGUSTA, GA 30912-1001
(706) 721-9633
(706) 723-0266
Mailing address
1120 15TH ST, GC-1024, AUGUSTA, GA 30912-0004
(706) 721-9633
(706) 723-0266
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN12283
FL
1223E0200X
Endodontics
Primary
DN12283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
851604023A
—
GA
05
—
ZG0339
—
SC
Enumeration date
01/24/2006
Last updated
01/12/2012
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