Mrs. Roberta Ellen Kerr
Pediatric Dentist
9280 E Raintree Dr Ste 108
Scottsdale
, Arizona 85260-7309
Mrs. Roberta Ellen Kerr
Pediatric Dentist
9280 E Raintree Dr Ste 108
Scottsdale
, Arizona 85260-7309
(414) 372-7425
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Mrs. Roberta Ellen Kerr
- 2555 N Martin Luther King Dr
- Milwaukee, WI
- Zip : 53212-2709
- Fax : (414) 372-7425
- Phone : (414) 372-8080
Second Address
- Mrs. Roberta Ellen Kerr
- 9280 E Raintree Dr Ste 108
- Scottsdale, AZ
- Zip : 85260-7309
- Phone : (480) 443-9080
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 9648 | AZ |
National Provider Identifier
| NPI | 1053660829 |
|---|---|
| Provider Name | Mrs. Roberta Ellen Kerr |
| First Address | Milwaukee, WI 53212-2709 |
| Second Address | Scottsdale, AZ 85260-7309 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2012 |
| Last Update Date | 15/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 9648 | DENTAL LICENSE (01) | AZ |
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.