Organization · Type 2 NPI
J. Shane Roberts Family Dentistry
Dental Clinic/Center · Pleasant Grove, AL
NPI number
1861910036
Active
Practice location
904 4th St
Pleasant Grove, AL 35127-1059
Fax (205) 744-4255
Mailing address
PO Box 445
Pleasant Grove, AL 35127-0445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 4013 (AL) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1861910036
J. Shane Roberts Family Dentistry's National Provider Identifier is 1861910036, issued on Sep 7, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pleasant Grove, AL. The record was last updated on Sep 7, 2017.