T.M. Roberson, II DDS PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

7022 Issued in NC

Legal business name

T.M. ROBERSON, II DDS PLLC

Practice address

340 Dabney Dr
Henderson, NC 27536-4036

Phone

(252) 492-0073

Fax

(252) 492-0359

NPI assigned

Feb 1, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Theodore Milton Roberson II, DDSNPI 1700912292

Title

Owner

Phone

(252) 492-0073

Specialties & licenses 1

Addresses

Other names 1

• Roberson Family Dentistry 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.

• Theodore Milton Roberson II, D.D.S.

  • General Practice Dentistry
  • Henderson, NC
  • NPI 1700912292
  NPD (past) Authorized official

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1083112387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 DABNEY DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364036",
            "telephone_number": "252-492-0073",
            "fax_number": "252-492-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 DABNEY DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364036",
            "telephone_number": "252-492-0073",
            "fax_number": "252-492-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.M. ROBERSON, II DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-492-0073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "7022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roberson Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Henderson, NC
• Providers in Henderson, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.