Provider Demographics
NPI:1518229442
Name:ROBERTS, DAVID PAGE JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PAGE
Last Name:ROBERTS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:1612 HUGUENOT ROAD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113
Mailing Address - Country:US
Mailing Address - Phone:804-794-9789
Mailing Address - Fax:804-419-1059
Practice Address - Street 1:4710 PUDDLEDOCK ROAD
Practice Address - Street 2:
Practice Address - City:PRINCE GEORGE
Practice Address - State:VA
Practice Address - Zip Code:23875
Practice Address - Country:US
Practice Address - Phone:804-526-4822
Practice Address - Fax:804-419-1059
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2021-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA04014136261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice