Individual provider · Type 1 NPI
Susan Merlene Roberts, DDS
Pediatric Dentistry · Fort Worth, TX
NPI number
1114023736
Active
Practice location
6650 N Beach, #118
Fort Worth, TX 76137
Fax (817) 656-7862
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 15587 (TX) |
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.
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About NPI 1114023736
Susan Merlene Roberts, DDS's National Provider Identifier is 1114023736, issued on Sep 15, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 8, 2007.