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DALE ROBERTS MD DMD NPI 1851327548


NPI Information

NPI: 1851327548
Provider Name: DALE ROBERTS MD, DMD
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
201 ABRAHAM FLEXNER WAY
SUITE 1105
LOUISVILLE, KY
ZIP 40202
Phone: (502) 581-9223
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DALE ROBERTS MD, DMD is a plastic surgery in Louisville, KY. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. DALE ROBERTS MD, DMD NPI is 1851327548. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

201 ABRAHAM FLEXNER WAY
SUITE 1105
LOUISVILLE, KY
ZIP 40202-841
Phone: (502) 581-9223
Fax: (502) 581-9225

The provider's authorized official is Dale Roberts .
The authorized official title is Owner/physician and has the following contact phone number (502) 581-9223.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 10/2/2008.


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
1208200000XPlastic Surgery22615KENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11407701MEDICARE PINKENTUCKY
26422615200MEDICAIDKENTUCKY
300126MEDICARE PINKENTUCKY

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: 4/28/2024

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