Dr. Alicia Robertson PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN9630 Issued in MD

Legal business name

DR. ALICIA ROBERTSON PA

Practice address

9417 Flower Ave
Silver Spring, MD 20901-3402

Phone

(301) 588-3310

Fax

(301) 588-3595

NPI assigned

Aug 4, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Dr. Alicia Robertson PA, DMD

Title

Doctor/Owner

Phone

(301) 588-3310

Specialties & licenses 1

Addresses

Practitioners 1

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

• Alicia Robertson,PA, D.D.S

  • General Practice Dentistry
  • Silver Spring, MD
  • NPI 1760632533
  NPD

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1750835971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9417 FLOWER AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209013402",
            "telephone_number": "301-588-3310",
            "fax_number": "301-588-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9417 FLOWER AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209013402",
            "telephone_number": "301-588-3310",
            "fax_number": "301-588-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALICIA ROBERTSON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON PA",
        "authorized_official_first_name": "DR. ALICIA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "301-588-3310",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "DN9630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.