J Keith Roberts Dds Llc

LBN: J Keith Roberts Dds Llc
J Keith Roberts Dds Llc is an health care organization with primary practice located at 828 S Auto Mall Rd , Bloomington IN 47401-5430. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. J Keith Roberts Dds Llc can be contacted via phone (812) 333-5437, or through Roberts, J Keith via phone (812) 333-5437.

Contact Information

Primary practice address
828 S Auto Mall Rd Bloomington IN 47401-5430
Phone: (812) 333-5437
Fax: (812) 333-6305
Website:
Map and Directions
Authorized official contact:
Name: Roberts, J Keith Doctor of Dental Surgery (DDS)
Phone: (812) 333-5437

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1518290550
LBN Legal business name J Keith Roberts Dds Llc
DBA Doing business as
Authorized official Roberts, J Keith Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2009
Last updated Feb 10th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518290550 NPPES
Indiana MEDICAID 100060010A

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