Danielle Roberts, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122716 Issued in GA

Practice address

200 E Ponce de Leon Ave Ste 300
Decatur, GA 30030-3469

Phone

(678) 836-2113

NPI assigned

May 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1780320630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E PONCE DE LEON AVE STE 300",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303469",
            "telephone_number": "678-836-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E PONCE DE LEON AVE STE 300",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303469",
            "telephone_number": "678-836-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DANIELLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Robbins, MD
• Tracy Roberson, LPC
• Roberts Family Dental, PC
• Cedric Roberts
• Coretta Lavette Roberts, LMSW, LCSW
• Frederick L. Roberts, P.A.-C
• Laketa Roberts
• Latesa Hudson Roberts, DHSC., MSHS, ATC
• Marc Howard Roberts, D.D.S.
• Oni Twanisha Roberts, N.C.T.M.B, L.N.M.T.

• General Practice Dentistry in Decatur, GA
• Providers in Decatur, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.