Dr. Kenneth James Roberson, DDS
Dentist, General Practice in Saint Albans, WV. Individual provider (NPI-1).
NPI number1205366408
StatusActive
Last updated in NPPESAug 7, 2019
Details
- NPI
- 1205366408
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth James Roberson
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2017
- Last updated
- Aug 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4276 | WV | Yes |
Practice location
215 5th AveSaint Albans, WV 25177-2809
Phone 304-722-3553
Mailing address
215 5th AveSaint Albans, WV 25177-2809
Phone 304-722-3553
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Other General Practice Dentistry providers in Saint Albans, WV
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All 9 General Practice Dentistry providers in Saint Albans · All 709 providers in Saint Albans
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