JESSICA LORRAINE ROBERTSON (NPI# 1316041437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316041437 |
| Entity Type | Individual |
| Full Name | JESSICA LORRAINE ROBERTSON |
| Credential | DMD |
| Practice Address |
1024 N San Francisco Suite 101 Flagstaff AZ 86001 |
| Mailing Address |
1773 W Sequoia Drive Flagstaff AZ 86001 |
| Practice Telephone | 9287790385 |
| Practice Fax Number | 9287796487 |
| Mailing Telephone | 9282135559 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D6814 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972122158 | Jessica Robertson | Counselor | 1211 Cushman St, Fairbanks, AK 99701-4680 | 2020-04-08 |
| 1548558562 | Jessica Marie Robertson | Doula | 4046 N Downer Ave, Shorewood, WI 53211-2126 | 2011-07-11 |
| 1447340161 | Jessica Ellen Robertson | Counselor | 2130 Government St Ste A, Ocean Springs, MS 39564-3937 | 2006-10-13 |
| 1649870197 | Jessica Robertson | Pharmacist | 29 Sw 1st Ln, Lamar, MO 64759-1772 | 2020-10-26 |
| 1578110581 | Jessica Lynn Robertson | Social Worker | 360 N Irby St, Florence, SC 29501-2808 | 2019-08-23 |
| 1922578467 | Jessica Lynn Robertson | Nurse Practitioner | 295 Old Oak St, Pembroke, MA 02359-1955 | 2018-11-27 |
| 1538666185 | Jessica Robertson | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave # Na-23, Cleveland, OH 44195-0001 | 2018-04-10 |
| 1124524178 | Jessica Robertson | Student in an Organized Health Care Education/Training Program | 2409 University Ave, Austin, TX 78712-1112 | 2018-03-30 |
| 1598275992 | Jessica Naomi Robertson | Licensed Practical Nurse | 815 W 5th North St, Morristown, TN 37814-3810 | 2017-10-11 |
| 1154860377 | Jessica Robertson | Dietitian, Registered | 9402 Uptown Dr, Suite 1600, Indianapolis, IN 46256-1000 | 2017-02-21 |
| Street Address |
1024 N SAN FRANCISCO SUITE 101 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942304068 | Thomas Wishard Turnbull | Dentist | 1024 N San Francisco, Suite 101, Flagstaff, AZ 86001 | 2006-09-11 |
| 1699879700 | Kirk James Robertson | Dentist | 1024 N San Francisco, Suite 101, Flagstaff, AZ 86001 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043452030 | David W Ho | Dentist | 1024 N San Francisco St Ste 101, Flagstaff, AZ 86001-3266 | 2009-04-06 |
| 1982781910 | Alan Byrd Dowell | Dentist | 906 W University Ave Ste 110, Flagstaff, AZ 86001-7115 | 2006-11-01 |
| 1942304068 | Thomas Wishard Turnbull | Dentist | 1024 N San Francisco, Suite 101, Flagstaff, AZ 86001 | 2006-09-11 |
| 1508863523 | Douglas L. Campbell | Dentist | 750 N Kendrick St, Suite 300, Flagstaff, AZ 86001-1586 | 2005-07-05 |
| 1831344167 | Around The Mountain Pediatric Dentistry Pllc | Dentist | 1024 N San Francisco St, Suite 101, Flagstaff, AZ 86001-3266 | 2008-12-01 |
| 1710011374 | Flagstaff Pediatric Dentistry, P.C. | Dentist | 906 W University Ave, Suite 110, Flagstaff, AZ 86001-2986 | 2007-03-15 |
| 1760544704 | Thomas W Turnbull Dds PC | Dentist | 1024 N San Francisco St, Suite 101, Flagstaff, AZ 86001 | 2006-12-15 |
| 1699879700 | Kirk James Robertson | Dentist | 1024 N San Francisco, Suite 101, Flagstaff, AZ 86001 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206274 | Totally Kids Dental P.C. | Dentist | 602 W Union Hills Dr Ste 9, Phoenix, AZ 85027-6629 | 2020-08-18 |
| 1033750724 | Mesa Valley Dental LLC | Dentist | 1220 S Higley Rd Ste 206, Mesa, AZ 85206-4002 | 2019-10-03 |
| 1942841663 | Mesa Kidtastic Dental LLC | Dentist | 1240 W Southern Ave Ste 112, Mesa, AZ 85202-4882 | 2019-10-03 |
| 1497396170 | Gilbert Kidtastic Dental LLC | Dentist | 3303 E Queen Creek Rd Ste 106, Gilbert, AZ 85297-8532 | 2019-10-03 |
| 1386207785 | Cattron's Dmd, Pllc | Dentist | 4024 E Guadalupe Rd Ste 105, Gilbert, AZ 85234-7672 | 2019-04-21 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1568957199 | Maureen Malingkas | Dentist | 8248 W Deer Valley Rd, Peoria, AZ 85382-2198 | 2018-06-26 |
| 1407344567 | Kids Dental Group Pllc | Dentist | 6239 E Brown Rd Ste 102, Mesa, AZ 85205-4933 | 2018-04-24 |
| 1861989121 | Logan Mariano | Dentist | 4383 E Rosemonte Dr, Phoenix, AZ 85050-3407 | 2018-04-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.