Provider Type Icon

ROBERTSON FAMILY DENTAL NPI 1164972352


NPI Information

NPI: 1164972352
Provider Name: ROBERTSON FAMILY DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
138 W ANGELA BLVD
SOUTH BEND, IN
ZIP 46617
Phone: (317) 874-6885
Get Directions

ROBERTSON FAMILY DENTAL is a general practice dentist in South Bend, IN. The provider is 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. ROBERTSON FAMILY DENTAL NPI is 1164972352. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

138 W ANGELA BLVD
SOUTH BEND, IN
ZIP 46617-101
Phone: (317) 874-6885

The provider's authorized official is Alison P Robertson .
The authorized official title is Dentist and has the following contact phone number (317) 874-6885.

The enumeration date for this NPI number is 10/11/2016 and was last updated on 10/11/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice12011017AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.