Roberts Family Dental Care LLC
Organization Active NPI Dentist · La Cygne, KS
NPI 1265961007 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1265961007
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 61400 (KS)
- Legal business name
- ROBERTS FAMILY DENTAL CARE LLC
- Practice address
- 113 N Broadway St
La Cygne, KS 66040-4205 - Phone
- (913) 757-4429
- NPI assigned
- Jun 6, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Annie Roberts, DDS
- Title
- Member
- Phone
- (913) 757-4429
Practitioners 2
-
William J. McKee, DDS
-
Annie Roberts, DDS
National Provider Directory
Locations
113 N Broadway St
Lacygne, KS 66040
Phone (913) 757-4429
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 61400 | KS | Yes |
Addresses
Primary practice location
113 N Broadway St
La Cygne, KS 66040-4205
Mailing address
113 N Broadway St
La Cygne, KS 66040-4205
Phone (913) 757-4429
Other providers in La Cygne, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.