Roberts, John David

Roberts, John David is an individual health care provider with primary practice located at 2440 East Prosper Trail , Prosper TX 75078. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Roberts, John David can be contacted via phone (972) 347-6444.

Contact Information

Primary practice address
2440 East Prosper Trail Prosper TX 75078
Phone: (972) 347-6444
Fax: (972) 347-6408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22822 Texas
Dental Providers / Dentist 122300000X 22822 Texas

Profile Details

NPI number 1326265240
LBN Legal business name Roberts, John David
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Nov 30th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326265240 NPPES
Texas MEDICAID 183632211

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