Organization
DALE ROBERTS MD, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE ROBERTS MD, DMD (OWNER/PHYSICIAN)
(502) 581-9223
Entity
Organization
Contact information
Practice address
201 ABRAHAM FLEXNER WAY, SUITE 1105, LOUISVILLE, KY 40202-3841
(502) 581-9223
(502) 581-9225
Mailing address
201 ABRAHAM FLEXNER WAY, SUITE 1105, LOUISVILLE, KY 40202-3841
(502) 581-9223
(502) 581-9225
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
22615
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6422615200
—
KY
Enumeration date
06/24/2006
Last updated
10/02/2008
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