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General NPI Number Information
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NPI Number | 1750884938
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Entity Type | Individual
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Provider Name | DREW ROBERTS DDS
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Gender | Male
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 603 LEXINGTON AVE
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City | FORT SMITH
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State | AR
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Zip | 72901-4736
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Country | US
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Telephone | 479-310-8008
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Fax | 479-310-8009
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Provider Business Mailing Address
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Address Line | 475962 E 1111 RD
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City | MULDROW
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State | OK
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Zip | 74948-4810
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Country | US
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Telephone | 479-629-3305
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 4653
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 104706
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License Number State | CA
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