Roberts, Justin L
Roberts, Justin L is an sole proprietor health care provider with primary practice located at 3415 S Lafountain St Ste I , Kokomo IN 46902-3826. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Roberts, Justin L can be contacted via phone (765) 455-1222.Contact Information
Primary practice address
3415 S Lafountain St Ste I
Kokomo IN 46902-3826
Phone: (765) 455-1222
Fax: (765) 455-0485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Dentist | 122300000X | 12012271A | Indiana |
Profile Details
| NPI number | 1699065862 |
|---|---|
| LBN Legal business name | Roberts, Justin L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2011 |
| Last updated | Dec 22nd, 2020 - about 5 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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