Individual
JEFFREY JAMES ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6219 VOGEL RD STE 103A, EVANSVILLE, IN 47715-4058
(812) 471-3726
Mailing address
4049 WETHERSFIELD DR, EVANSVILLE, IN 47725-8706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009818
IN
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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