Individual provider · Type 1 NPI

Micah A. Roberts, DMD

General Practice Dentistry · Peoria, IL

NPI number 1760746747 Active

Practice location

4517 N Rockwood Dr
Peoria, IL 61615-3841

Fax (309) 688-5643

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019.029023 (IL)
General Practice Dentistry Primary 1223G0001X019029023 (IL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5 other providers at this address

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About NPI 1760746747

Micah A. Roberts, DMD's National Provider Identifier is 1760746747, issued on Jun 25, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Peoria, IL. The record was last updated on Oct 6, 2020.