Individual provider · Type 1 NPI

Charles Waitsel Roberts Iv, DDS

Pediatric Dentistry · Mooresville, NC

NPI number 1003021908 Active

Practice location

142 Professional Park Dr, Suite 200
Mooresville, NC 28117-5537

Fax (704) 663-7912

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X7023 (NC)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

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About NPI 1003021908

Charles Waitsel Roberts Iv, DDS's National Provider Identifier is 1003021908, issued on May 14, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Mooresville, NC. The record was last updated on Jul 9, 2007.