Organization
ROBERTS DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN LEVI ROBERTS DDS (OWNER)
(765) 455-1222
Entity
Organization
Contact information
Practice address
3415 S LAFOUNTAIN ST STE I, KOKOMO, IN 46902-3826
(765) 455-1222
(765) 455-0485
Mailing address
3415 S LAFOUNTAIN ST STE I, KOKOMO, IN 46902-3826
(765) 455-1222
(765) 455-0485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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