Organization
RICHARD D. ROBLEE DDS
Active
Other names
Roblee Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD DAVID ROBLEE DDS, MS (OWNER)
(479) 521-6060
Entity
Organization
Contact information
Practice address
162 E SUNBRIDGE DR, FAYETTEVILLE, AR 72703
(479) 521-6060
(479) 521-4161
Mailing address
162 E SUNBRIDGE DR, FAYETTEVILLE, AR 72703-2830
(479) 521-6060
(479) 521-4161
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2720
AR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
3412
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14242
RDR TEXAS LICENSE
TX
01
—
154
JML OKLAHOMA LICENSE
OK
05
—
155641608
—
AR
01
—
200046140 A
OK SOONERCARE GROUP ID
OK
01
—
200046150 A
OK SOONERCARE RDR
OK
01
—
200046160 A
OK SOONERCARE JML
OK
01
—
2720
RDR ARKANSAS LICENSE
AR
01
—
3412
JML ARKANSAS LICENSE
AR
01
—
58127
BCBS ID #
AR
01
—
5F054
BCBS GROUP ID #
AR
01
—
887681
UNITED CONCORDIA ID #
AR
01
—
U06567
BCBS UPIN
AR
Enumeration date
10/12/2006
Last updated
05/09/2019
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