Roby, Todd Michael

Roby, Todd Michael is an individual health care provider with primary practice located at 1055 17Th Ave Suite 203, Longmont CO 80501-2680. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Roby, Todd Michael can be contacted via phone (303) 776-2020.

Contact Information

Primary practice address
1055 17Th Ave Suite 203 Longmont CO 80501-2680
Fax: (303) 776-2091
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8453 Colorado

Profile Details

NPI number 1457349664
LBN Legal business name Roby, Todd Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1457349664 NPPES
Colorado MEDICAID 45475512

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