Individual
DR. AUSTIN SHAUN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6107 OOLTEWAH GEORGETOWN RD, OOLTEWAH, TN 37363-5656
(423) 713-5555
Mailing address
6107 OOLTEWAH GEORGETOWN RD, OOLTEWAH, TN 37363-5656
(423) 713-5555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9323
TN
Other
Enumeration date
07/07/2011
Last updated
06/27/2016
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