Provider Demographics
NPI:1043397540
Name:ROBY, JEFFREY KENT (DMD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:KENT
Last Name:ROBY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2633 NAPOLEAN AVENUE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115
Mailing Address - Country:US
Mailing Address - Phone:504-899-3497
Mailing Address - Fax:504-899-8310
Practice Address - Street 1:2633 NAPOLEAN AVENUE
Practice Address - Street 2:SUITE 700
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115
Practice Address - Country:US
Practice Address - Phone:504-899-3497
Practice Address - Fax:504-899-8310
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4405122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist