CORA ROBERTS DHAT NPI 1205265345

NPI Information

  • NPI: 1205265345
  • Provider Name: CORA ROBERTS, DHAT
  • Classification: Dental Therapist - 125J00000X
  • Entity Type: Individual
  • Address: 201 3RD AVENUE, SUITE 115
    SEWARD, AK
    ZIP 99664
  • Phone: (907) 224-4925

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NPI Details

Cora Roberts, DHAT is a dental therapist in Seward, AK. The provider is a Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. Cora Roberts, DHAT NPI is 1205265345. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

201 3RD AVENUE, SUITE 115
SEWARD, AK
ZIP 99664
Phone: (907) 224-4925
Fax: (907) 224-4933

The enumeration date for this NPI number is 11/8/2013 and was last updated on 1/9/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1125J00000XDental Therapist13-114-DHATALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11603850MEDICAIDALASKA

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: 3/30/2025

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