Judson Rainer Roberts
Periodontist
1810 Professional Dr
Sacramento
, California 95825
Judson Rainer Roberts
Periodontist
1810 Professional Dr
Sacramento
, California 95825
(916) 933-0296
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Judson Rainer Roberts
- 1771 Rocky Springs Ct
- El Dorado Hills, CA
- Zip : 95762
- Phone : (916) 933-0296
Second Address
- Judson Rainer Roberts
- 1810 Professional Dr
- Sacramento, CA
- Zip : 95825
- Fax : (916) 973-9830
- Phone : (916) 971-3461
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 25286 | CA |
National Provider Identifier
| NPI | 1134246754 |
|---|---|
| Provider Name | Judson Rainer Roberts |
| First Address | El Dorado Hills, CA 95762 |
| Second Address | Sacramento, CA 95825 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.