| Charles W Roberts Iv Dds & Kari L Lundberg Dds Pa | |
|
142 Professional Park Dr Suite 100 & 200 Mooresville NC 28117 | |
| (704) 663-1234 | |
| (704) 663-7912 |
| Full Name | Charles W Roberts Iv Dds & Kari L Lundberg Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 142 Professional Park Dr, Mooresville, North Carolina |
| Authorized Official Name and Position | Charles Waitsel Roberts (DENTIST) |
| Authorized Official Contact | 7046645437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles W Roberts Iv Dds & Kari L Lundberg Dds Pa 142 Professional Park Dr Suite 100 & 200 Mooresville NC 28117 Ph: (704) 663-1234 | Charles W Roberts Iv Dds & Kari L Lundberg Dds Pa 142 Professional Park Dr Suite 100 & 200 Mooresville NC 28117 Ph: (704) 663-1234 |
| NPI Number | 1801962196 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801962196 | NPI | - | NPPES |
| 5902375 | Medicaid | NC | |
| 902E8 | Other | NC | HEALTH CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7023 (North Carolina) | Primary |
| 122300000X | Dentist | 7002 (North Carolina) | Secondary |
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Drs Groody And Reimels Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Rocky River Rd, Mooresville, NC 28115 Phone: 704-782-2630 | |
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