Healthcare Provider Details

I. General information

NPI: 1871109041
Provider Name (Legal Business Name): DRISCOLL AND ROBERTSON, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2020
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 WICKER ST STE A
SANFORD NC
27330-4168
US

IV. Provider business mailing address

709 WICKER ST STE A
SANFORD NC
27330-4168
US

V. Phone/Fax

Practice location:
  • Phone: 704-607-8047
  • Fax:
Mailing address:
  • Phone: 704-607-8047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN D ROBERTSON
Title or Position: OWNER
Credential: DMD, MS
Phone: 704-607-8047