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General NPI Number Information
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NPI Number | 1134432743
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Entity Type | Organization
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Legal Business Name | CHRIS R ROBERTS DDS, PC
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Dates
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Enumeration Date | 07/24/2010
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Last Update Date | 04/29/2013
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Provider Practice Location Address
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Address Line | 4809 ARGONNE ST SUITE 230
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City | DENVER
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State | CO
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Zip | 80249-6834
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Country | US
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Telephone | 303-371-4485
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Fax | 303-371-3904
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Provider Business Mailing Address
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Address Line | 4809 ARGONNE ST SUITE 230
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City | DENVER
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State | CO
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Zip | 80249-6834
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Country | US
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Telephone | 303-371-4485
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Fax | 303-371-3904
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. CHRIS R ROBERTS
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Credential | DDS, MS
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Telephone | 303-371-4485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 9944
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License Number State | CO
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