Don Kevin Roberts, DDS
Individual provider Active NPI General Practice Dentistry · Washington, DC
NPI 1497963649 · NPPES record last updated Sep 4, 2023
Key facts
- NPI
- 1497963649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DEN10000476 (DC)
- Practice address
- 1700 17TH St NW Ste 302
Washington, DC 20009-2419 - Phone
- (703) 244-1969
- Fax
- (202) 664-5776
- NPI assigned
- May 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN10000476 | DC | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN10000476 | DC | Yes |
Addresses
Primary practice location
1700 17TH St NW Ste 302
Washington, DC 20009-2419
Mailing address
1700 17TH St NW Ste 302
Washington, DC 20009-2419
Phone (703) 244-1969
Other providers in Washington, DC
- Brittany Anne Roberts
- Chanelle Roberts
- Christiana Roberts
- David Ari Roberts
- Dominique Roberts
- Emily Claire Roberts
- Ethel Mary Roberts
- Faith Roberts
- Jessica Roberts
- Joella Roberts
All providers in Washington, DC · General Practice Dentistry in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2023. 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.