Individual
JAMES REID ROBERTS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1125 COMMERCE DR STE 100, SUITE A, PEACHTREE CITY, GA 30269-3575
(770) 486-8516
(770) 818-5547
Mailing address
1125 COMMERCE DR STE 100, PEACHTREE CITY, GA 30269-3575
(770) 486-8516
(770) 818-5547
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012947
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
679226597A
—
GA
05
—
679226597B
—
GA
05
—
679226597C
—
GA
Enumeration date
08/18/2006
Last updated
08/26/2015
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