Individual provider · Type 1 NPI

Jerry Wayne Robertson, DDS

General Practice Dentistry · Tulsa, OK

NPI number 1750575122 Active

About NPI 1750575122

Jerry Wayne Robertson, DDS's National Provider Identifier is 1750575122, issued on Aug 29, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tulsa, OK. The record was last updated on Aug 29, 2007.