Jada Roberts
Pediatric Dentistry · Marion, IN
Practice location
1102 N Wabash AveMarion, IN 46952-2510
- Phone
- (765) 673-0633
NPI record
- NPI
- 1588072045
- Entity type
- Individual (Type 1)
- Enumeration date
- July 29, 2014
- Last updated
- December 20, 2021
- Certified
- December 20, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X |
12012082A | IN |
| Dentist | 122300000X |
12012082A | IN |
About Jada Roberts
Jada Roberts is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 1102 N Wabash Ave, Marion, IN 46952-2510. The NPI number 1588072045 was assigned on July 29, 2014 and the record was last updated on December 20, 2021.
Jada Roberts lists 2 licenses in the registry: #12012082A (IN) for Pediatric Dentistry; #12012082A (IN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jada Roberts?
The NPI number is 1588072045.
What is the phone number of Jada Roberts?
The phone number listed for the practice location is (765) 673-0633.
Where is Jada Roberts located?
1102 N Wabash Ave, Marion, IN 46952-2510.
What is the taxonomy code for Jada Roberts?
The primary taxonomy code is 1223P0221X – Pediatric Dentistry; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pediatric Dentistry providers in Marion
- Hoosier Pediatric Dental Group306 S Baldwin Ave
- Alice Matilda Butterworth, D.D.S.803 W Gardner Dr
- Childrens Dental Specialist803 W Gardner Dr
- Alice M. Butterworth, D.D.S.803 W Gardner Dr