Robertson Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROBERTSON DENTAL PLLC

Doing business as

Robertson Dental

Practice address

105 Hudson Dr
Suite 9B
Elizabethton, TN 37643-2801

Phone

(301) 471-5831

NPI assigned

Jan 21, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Alan Robertson, DDSNPI 1235448150

Title

Manager

Phone

(301) 471-5831

Specialties & licenses 1

Addresses

Other names 1

• Robertson Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Alan Robertson, D.D.S.

  • Dentist
  • Elizabethton, TN
  • NPI 1235448150

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1003205535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HUDSON DR",
            "address_2": "SUITE 9B",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432801",
            "telephone_number": "301-471-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HUDSON DR",
            "address_2": "SUITE 9B",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432801",
            "telephone_number": "301-471-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTSON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-471-5831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robertson Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derek Charles Rhoton, P.A.-C
• Richard Woodward
• Riverside Pedatrics PLLC
• Robert L Sams
• Kristie Dawn Roberts
• Mark Alan Robertson, D.D.S.
• Diane Lynn Roche, PA
• Kaylee Rose, M.S., CF-SLP
• Larry James Rose, L.C.S.W.
• Faith Russell, PT, DPT

• General Practice Dentistry in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.