Individual
TERRENCE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
996 W STATE ST, ALBANY, IN 47320-1519
(765) 789-9048
(765) 789-9063
Mailing address
996 W STATE ST, ALBANY, IN 47320-1519
(765) 789-9048
(765) 789-9063
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12013359
IN
1223G0001X
General Practice Dentistry
Primary
12013359A
IN
Other
Enumeration date
06/05/2020
Last updated
08/27/2024
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