Roberts, James Reid

Roberts, James Reid is an individual health care provider with primary practice located at 1125 Commerce Dr Ste 100 Suite A, Peachtree City GA 30269-3575. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Roberts, James Reid can be contacted via phone (770) 486-8516.

Contact Information

Primary practice address
1125 Commerce Dr Ste 100 Suite A Peachtree City GA 30269-3575
Phone: (770) 486-8516
Fax: (770) 818-5547
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN012947 Georgia

Profile Details

NPI number 1922112606
LBN Legal business name Roberts, James Reid
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Aug 26th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922112606 NPPES
Georgia MEDICAID 679226597B
Georgia MEDICAID 679226597C
Georgia MEDICAID 679226597A

Popular Providers