Provider Demographics
NPI:1720200892
Name:ROBERTS, DALE LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:DALE
Middle Name:LEE
Last Name:ROBERTS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:DALE
Other - Middle Name:LEE
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:570 ZANG ST STE B
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8227
Mailing Address - Country:US
Mailing Address - Phone:303-381-0747
Mailing Address - Fax:303-381-1199
Practice Address - Street 1:570 ZANG ST STE B
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-8227
Practice Address - Country:US
Practice Address - Phone:303-381-0747
Practice Address - Fax:303-381-1199
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO63961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice