RONALD G. ROBERTS, D.D.S. (NPI# 1518103787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518103787 |
| Entity Type | Organization |
| Organization Name | RONALD G. ROBERTS, D.D.S. |
| Practice Address |
409 Church Avenue Huntsville AR 72740-0249 |
| Mailing Address |
Po Box 249 409 Church Avenue Huntsville AR 72740-0249 |
| Practice Telephone | 4797382777 |
| Practice Fax Number | 4797382705 |
| Mailing Telephone | 4797382777 |
| Mailing Fax Number | 4797382705 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |
| Authorized Official Name | DR. RONALD GLENN ROBERTS (OWNER) |
| Authorized Official Telephone | 4797382777 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI # PERSONAL | 1366543779 | 01 | |
| AR | 162357608 | 05 |
| Street Address |
409 CHURCH AVENUE |
| City | HUNTSVILLE |
| State | AR |
| Zip Code | 72740-0249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366543779 | Ronald Glenn Roberts | Dentist | 409 Church Avenue, Huntsville, AR 72740 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356536387 | Melissa K Brannan | Marriage & Family Therapist | 405 W. Main Street, Huntsville, AR 72740 | 2007-09-12 |
| 1710187588 | St Johns Clinic Inc | Obstetrics & Gynecology | 705 Phillips, Huntsville, AR 72740 | 2007-07-20 |
| 1114040375 | Patricia Retterer Lemmer | Speech-Language Pathologist | 133 School Drive, Huntsville Middle School, Huntsville, AR 72740 | 2007-04-10 |
| 1871615518 | Huntsville School District | Local Education Agency (LEA) | 570 West Main, Huntsville, AR 72740 | 2007-04-04 |
| 1679618250 | Danny L. Ray | Pharmacist | 601 North Gaskill Street, Huntsville, AR 72740 | 2007-02-21 |
| 1427105667 | Thomas Louie Embry | Family Medicine | 705 Phillips Place, Huntsville, AR 72740 | 2007-01-03 |
| 1649339755 | Sheila Jeanette Chapman | Case Manager/Care Coordinator | 701 Phillips, Suite 1, Huntsville, AR 72740 | 2006-12-06 |
| 1811056864 | Melissa Brooke Lowrimore | Case Manager/Care Coordinator | 710 Huntsville, Suite 1, Huntsville, AR 72740 | 2006-12-06 |
| 1225197510 | Maria Luann Thompson-mcsperitt | Case Manager/Care Coordinator | 701 Phillips Suite 1, Huntsville, AR 72740 | 2006-12-06 |
| 1326129040 | Clyde Maxwell Norris | Chiropractor | 510 S Harris, Huntsville, AR 72740 | 2006-10-18 |
| Find all providers in zip 72740 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497316095 | Michael Brett Torello | Dentist | 112 Lily Flagg Rd Sw Ste A, Huntsville, AL 35802-3040 | 2019-06-25 |
| 1457910564 | Andrew Henninger | Dentist | 2246 Winchester Rd Ne Ste 106, Huntsville, AL 35811-6801 | 2019-06-12 |
| 1528534179 | Amy D. Thompson, Dmd, PC | Dentist | 111 Park Place Dr Ste F, Huntsville, AL 35806-4252 | 2018-10-22 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1336681063 | Balmoral Dental Center | Dentist | 4000 Balmoral Dr Sw Ste 201, Huntsville, AL 35801-7432 | 2016-11-11 |
| 1760842066 | Qussay Al Jawhar | Dentist | 3011 Highway 30 W Ste 101c, Huntsville, TX 77340-3534 | 2016-02-29 |
| 1659738276 | Clear Creek Dentistry, Pllc | Dentist | 901 Normal Park Dr Ste 202, Huntsville, TX 77320-3770 | 2016-01-27 |
| 1437528262 | Smdr LLC | Dentist | 2313 Starmount Cir Sw, Huntsville, AL 35801-3817 | 2015-09-22 |
| 1366831372 | Pwd Dentistry Management LLC | Dentist | 2804 Lake Rd Ste 5, Huntsville, TX 77340-5626 | 2015-01-14 |
| 1689001638 | Stonecreek Acquisitions | Dentist | 7224 Governors West Nw, Huntsville, AL 35806-2051 | 2013-10-07 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 72740 |
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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.