Individual
DR. DALE WESLEY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
71 HAZARD AVE, ENFIELD, CT 06082-3813
(860) 749-2225
Mailing address
250 HALLADAY AVE W, SUFFIELD, CT 06078-1106
(860) 668-4545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4960
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12
4960
CT
Enumeration date
02/04/2007
Last updated
03/07/2023
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