NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

CHARLES W ROBERTS IV, DDS
142 PROFESSIONAL PARK DR
SUITE 200
MOORESVILLE, NC28117-5537
 Phone: 704-664-5437
 Fax: 704-663-7912
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for CHARLES W ROBERTS IV · (Male)

NPI # 1003021908
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/14/2007
Last updated 07/09/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 7023
  • NC Medicaid 5902375
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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