DR. CHARLES WAITSEL ROBERTS IV DDS
NPI 1003021908
Dentist - Pediatric Dentistry in Mooresville, NC

Q: What is Charles Roberts's NPI number?

The NPI number for Charles Roberts is 1003021908. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Q: What is Charles Roberts's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Charles Roberts was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 14, 2007

142 PROFESSIONAL PARK DR, SUITE 200, MOORESVILLE, NC 28117(704) 664-5437(704) 663-7912 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Charles Waitsel Roberts Iv Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES WAITSEL ROBERTS IV DDS (NPI 1003021908) is an individual pediatric dentistry provider in Mooresville, North Carolina, licensed in North Carolina (7023) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1003021908

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. CHARLES WAITSEL ROBERTS IVCredential: DDS

Location Address142 PROFESSIONAL PARK DR, SUITE 200Mooresville, NC 28117-5537

Mailing Address142 Professional Park Dr, Suite 200Mooresville, NC 28117-5537 · (704) 664-5437 · Fax (704) 663-7912

Phone(704) 664-5437

Fax(704) 663-7912

Sole ProprietorNo

Enumeration DateMay 14, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1003021908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in NC · 7023

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

142 PROFESSIONAL PARK DR, Mooresville, NC 28117

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Other Identifiers 1

Medicaid5902375NC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KARI LYNN LUNDBERG DDS

Dentist (General Practice)

142 PROFESSIONAL PARK DR, SUITE 100
MOORESVILLE, NC 28117

Iredell County (704) 663-1234

CHARLES W ROBERTS IV DDS & KARI L LUNDBERG DDS PA

Dentist

142 PROFESSIONAL PARK DR, SUITE 100 & 200
MOORESVILLE, NC 28117

Iredell County (704) 663-1234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Roberts's NPI number?

The NPI number for Charles Roberts is 1003021908. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Charles Roberts located?

Charles Roberts practices at 142 Professional Park Dr Suite 200, Mooresville, NC 28117. The listed phone number is (704) 664-5437.

What is Charles Roberts's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Charles Roberts was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.