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J Keith Roberts Dds Llc
Pediatric Dentist in Bloomington, Indiana
NPI 1518290550

J Keith Roberts Dds Llc is a Pediatric Dentist based in Bloomington, IN and is specialized in Pediatric Dentistry. J Keith Roberts Dds Llc practices in Bloomington, IN. The NPI Number for J Keith Roberts Dds Llc is 1518290550 and holds a License No. (Indiana).

The current practice location address for J Keith Roberts Dds Llc is 828 S Auto Mall Rd, Bloomington, IN and can be reached out via phone at 812-333-5437 and via fax at 812-333-6305.

Location: 828 S Auto Mall Rd, Bloomington, IN, 47401-5430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518290550
Provider Name
J Keith Roberts Dds Llc
Credential
Provider Entity Type
Organization
Address
828 S Auto Mall Rd, Bloomington, IN, 47401-5430
Phone Number
812-333-5437
Fax Number
812-333-6305
Provider Enumeration Date
09/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100060010A 05 IN
institution
Provider Business Practice Location Address Details
Address
828 S Auto Mall Rd
City
Bloomington
State
Indiana
Zip
47401-5430
Phone Number
812-333-5437
Fax Number
812-333-6305
person
Provider Business Mailing Address Details
Address
828 S Auto Mall Rd
City
Bloomington
State
Indiana
Zip
47401-5430
Phone Number
812-333-5437
Fax Number
812-333-6305
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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