DR. STEPHEN WAYNE ROBERTSON (NPI# 1700890480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700890480 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN WAYNE ROBERTSON |
| Other Name | DR. DAVIS AND ROBERTSON |
| Credential | D.M.D., |
| Practice Address |
1720 Destiny Ln 1720 Destiny Lane Bowling Green KY 42104-1063 |
| Practice Telephone | 2708423554 |
| Practice Fax Number | 2707814644 |
| Mailing Telephone | 2708423554 |
| Mailing Fax Number | 2707814644 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2708 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659406809 | Stephen Andrew Robertson | Dentist | 3401 S Oneida Way, Denver, CO 80224-2847 | 2007-02-21 |
| 1831594902 | Stephen Ezra Robertson | Pharmacist | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2014-10-30 |
| 1043519135 | Stephen W Robertson | Technician, Other | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2011-03-15 |
| 1598736027 | Stephen J Robertson | Radiology | 5352 Linton Blvd, Delray Beach, FL 33484 | 2006-02-01 |
| Street Address |
1720 DESTINY LN 1720 DESTINY LANE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-1063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134323165 | Davis and Robertson Dmd. Psc | Dentist | 1720 Destiny Ln, Bowling Green, KY 42104-1063 | 2007-06-13 |
| 1750413936 | Gina Renee Davis | Dentist | 1720 Destiny Ln, Bowling Green, KY 42104-1063 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| 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 |
|---|---|---|---|---|
| 1578057147 | Keegan Chandler | Dentist | 1785 Campbell Ln Ste 100, Bowling Green, KY 42104-1091 | 2018-06-18 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1164770103 | Dr. William Kelley Cherry | Dentist | 1640 Scottsville Rd. Suite 300, Suite 300, Bowling Green, KY 42104 | 2012-08-23 |
| 1023384815 | Michael W. Howell, D.m.d. | Dentist | 952 Us 31 W Bypass, Bowling Green, KY 42102-4939 | 2012-03-27 |
| 1942579172 | Andrew M Burt Dmd Psc | Dentist | 546 Park St Ste 400, Bowling Green, KY 42101-1780 | 2011-12-16 |
| 1124304555 | Surpreet Kaur | Dentist | 1111 S Main St Ste 330, Bowling Green, OH 43402-4747 | 2011-10-31 |
| 1114169661 | Commonwealth Health Free Clinic, Inc | Dentist | 740 E 10th Ave, Bowling Green, KY 42101-2318 | 2009-03-30 |
| 1104020114 | Daniel Joseph Simon | Dentist | 625 Three Springs Rd, Bowling Green, KY 42104 | 2007-06-13 |
| 1053538793 | Ronald L Yaeger | Dentist | 1064 U S 31 West By Pass, Bowling Green, KY 42101-2418 | 2007-04-20 |
| 1932221751 | George Thomas Ransdell | Dentist | 2601 Nashville Rd, Bowling Green, KY 42101-4036 | 2007-04-04 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.