| Justin Roberts, DDS | |
|
301 S J T Stites St, Sallisaw, OK 74955-9302 | |
| (918) 775-9150 | |
| Not Available |
| Full Name | Justin Roberts |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 301 S J T Stites St, Sallisaw, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548754054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7068 (Oklahoma) | Primary |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Roberts, DDS 401 Honor Heights Dr, Muskogee, OK 74401-2340 Ph: () - | Justin Roberts, DDS 301 S J T Stites St, Sallisaw, OK 74955-9302 Ph: (918) 775-9150 |
Robert Henry Wells Jr., D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 200 E Choctaw Ave, Sallisaw, OK 74955 Phone: 918-775-3201 Fax: 918-775-3394 | |
Dr. Ronald K. Girlinghouse, D.D.S, P.A. Dentist Medicare: Medicare Enrolled Practice Location: 1206 Brown Blvd, Sallisaw, OK 74955 Phone: 918-775-5775 | |
Aubrey J Henshaw Iii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 611 W Ruth Ave, Sallisaw, OK 74955 Phone: 918-775-4431 Fax: 918-775-4432 | |
Ana Marie Dotson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 504 E Cherokee Ave, Sallisaw, OK 74955 Phone: 918-776-0804 Fax: 918-776-0835 | |
Dr. Tommy Lee Mccreight, DDS Dentist Medicare: Medicare Enrolled Practice Location: 502 W Cherokee Ave, Sallisaw, OK 74955 Phone: 918-775-3742 | |
Dr. Randi Kennedy Gray, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 504 E Cherokee Ave, Sallisaw, OK 74955 Phone: 918-774-4369 |