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Contact Information

DALE ROBERTS MD, DMD
201 ABRAHAM FLEXNER WAY
SUITE 1105
LOUISVILLE, KY40202-3841
 Phone: 502-581-9223
 Fax: 502-581-9225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DALE ROBERTS MD, DMD

NPI Number 1851327548
LBN Legal business name DALE ROBERTS MD, DMD
Authorized official DALE ROBERTS - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2006
Last updated 10/02/2008 - About 18 years ago
Identifiers
KY License # 22615
KY Medicaid 6422615200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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