Dr. Charles Waitsel Roberts IV, DDS
Dentist, Pediatric Dentistry in Mooresville, NC. Individual provider (NPI-1).
NPI number1003021908
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1003021908
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Waitsel Roberts IV
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 14, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 7023 | NC | Yes |
Practice location
142 Professional Park DrSuite 200
Mooresville, NC 28117-5537
Phone 704-664-5437 · Fax 704-663-7912
Mailing address
142 Professional Park DrSuite 200
Mooresville, NC 28117-5537
Phone 704-664-5437 · Fax 704-663-7912
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All 12 Pediatric Dentistry providers in Mooresville · All 2,308 providers in Mooresville
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