Provider Demographics
NPI:1558760280
Name:ROBERTS-NEFF DENTISTRY PA
Entity Type:Organization
Organization Name:ROBERTS-NEFF DENTISTRY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-636-9688
Mailing Address - Street 1:110 S 20TH ST
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1101
Mailing Address - Country:US
Mailing Address - Phone:479-636-9688
Mailing Address - Fax:479-986-0778
Practice Address - Street 1:110 S 20TH ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1101
Practice Address - Country:US
Practice Address - Phone:479-636-9688
Practice Address - Fax:479-986-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty