Roberts, Michael J

Roberts, Michael J is an individual health care provider with primary practice located at 12409 E Mission Ave Ste 101, Spokane Valley WA 99216-3101. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Roberts, Michael J can be contacted via phone (509) 928-8800.

Contact Information

Primary practice address
12409 E Mission Ave Ste 101 Spokane Valley WA 99216-3101
Fax: (509) 321-0154
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7500 Washington

Profile Details

NPI number 1497751119
LBN Legal business name Roberts, Michael J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 8th, 2007 - about 17 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 1497751119 NPPES
Washington MEDICAID 5033584

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