Individual provider · Type 1 NPI

Kenneth Wayne Roberts, DDS

General Practice Dentistry · South Lyon, MI

NPI number 1124245006 Active

About NPI 1124245006

Kenneth Wayne Roberts, DDS's National Provider Identifier is 1124245006, issued on Apr 20, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in South Lyon, MI. The record was last updated on Jul 8, 2007.