Individual
DR. JAMIE ELIZABETH ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
401 CONNECTICUT AVE, NORFOLK, VA 23508-2703
(508) 228-5508
Mailing address
2 AMELIA DR, NANTUCKET, MA 02554-6064
(765) 860-5150
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.028487
IL
122300000X
Dentist
0401413409
VA
122300000X
Dentist
Primary
DN1856973
MA
Other
Enumeration date
05/15/2012
Last updated
07/21/2015
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