Thomas Blake Roberts, DMD

General Practice Dentistry · Paducah, KY

Individual Active NPI

NPI number 1689249872

Practice location

4616 Village Square Dr
Paducah, KY 42001-7501
Phone
(270) 444-6080

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NPI record

NPI
1689249872
Entity type
Individual (Type 1)
Enumeration date
May 21, 2021
Last updated
May 21, 2021
Certified
May 21, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 10610 KY

Other practice locations (1)

  • 312 Wyatt Dr, Mayfield, KY 42066-6810 · (270) 247-1966

About Dr. Roberts

Thomas Blake Roberts, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4616 Village Square Dr, Paducah, KY 42001-7501. The NPI number 1689249872 was assigned on May 21, 2021 and the record was last updated on May 21, 2021.

Dr. Roberts lists a license in the registry: #10610 (KY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Blake Roberts, DMD?

The NPI number is 1689249872.

What is the phone number of Dr. Roberts?

The phone number listed for the practice location is (270) 444-6080.

Where is Dr. Roberts located?

4616 Village Square Dr, Paducah, KY 42001-7501.

What is the taxonomy code for Dr. Roberts?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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