Roberson, Glen Allen
Roberson, Glen Allen is an sole proprietor health care provider with primary practice located at 9687 Blue Calico Dr , Las Vegas NV 89123-5825. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Roberson, Glen Allen can be contacted via phone (973) 202-3272.Contact Information
Primary practice address
9687 Blue Calico Dr
Las Vegas NV 89123-5825
Phone: (973) 202-3272
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | LL-0107-06 | Nevada |
Profile Details
| NPI number | 1144434275 |
|---|---|
| LBN Legal business name | Roberson, Glen Allen |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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