Individual provider · Type 1 NPI

Raenie Roberts, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Prosper, TX

NPI number 1053479626 Active

Practice location

2440 East Prosper Trail
Prosper, TX 75078

Fax (972) 347-6408

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X21466 (TX)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1053479626

Raenie Roberts, DDS, MS's National Provider Identifier is 1053479626, issued on Dec 5, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Prosper, TX. The record was last updated on Sep 4, 2009.