Organization · Type 2 NPI

Susan Roberts Pediatric Dentistry PLLC

Pediatric Dentistry · Fort Worth, TX

NPI number 1306454178 Active

Practice location

5411 Basswood Blvd Ste 201
Fort Worth, TX 76137-4479

Call (817) 656-3999 Map

Mailing address

3575 Lone Star Cir Ste 310
Fort Worth, TX 76177-8908

Other practice locations

  • 12485 Timberland Blvd Ste 703, Fort Worth, TX 76244-6429 · (817) 337-9720

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

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 1306454178

Susan Roberts Pediatric Dentistry PLLC's National Provider Identifier is 1306454178, issued on Jul 17, 2020. 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 17, 2020.