Dr. Austin Roberts Family and Implant Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9323 Issued in TN

Legal business name

DR. AUSTIN ROBERTS FAMILY AND IMPLANT DENTISTRY, PLLC

Practice address

6107 Ooltewah Georgetown Rd
Ooltewah, TN 37363-5656

Phone

(423) 713-5555

NPI assigned

Feb 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Austin Roberts, D.D.S.NPI 1770870016

Title

Owner

Phone

(423) 645-7678

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Austin Shaun Roberts, D.D.S.

  • General Practice Dentistry
  • Ooltewah, TN
  • NPI 1770870016
  NPD (past) Authorized official

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1326406158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 OOLTEWAH GEORGETOWN RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635656",
            "telephone_number": "423-713-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 OOLTEWAH GEORGETOWN RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635656",
            "telephone_number": "423-713-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AUSTIN ROBERTS FAMILY AND IMPLANT DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-645-7678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Ooltewah, TN
• Providers in Ooltewah, 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 Feb 8, 2016; 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.