JUSTIN ROBERTS DDS
NPI 1548754054
Dentist in Sallisaw, OK

Active since June 18, 2018PECOS Enrolled
301 S J T STITES ST, SALLISAW, OK 74955(918) 775-9150 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 30, 2019, Jun 18, 2018 (2 updates tracked since 2018).

About Justin Roberts Dds NPPES

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

JUSTIN ROBERTS DDS (NPI 1548754054) is an individual dentist in Sallisaw, Oklahoma, licensed in Oklahoma (7068) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tahlequah.

NPPES Registry Identity

NPI1548754054
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJUSTIN ROBERTSCredential: DDS
Location Address301 S J T STITES STSallisaw, OK 74955-9302
Mailing Address401 Honor Heights DrMuskogee, OK 74401-2340
Sole ProprietorYes
Enumeration DateJune 18, 2018
Last NPPES UpdateAugust 30, 20192 updates tracked since enumeration
NPI 1548754054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OK · 7068
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

301 S J T STITES ST, Sallisaw, OK 74955

Secondary Practice Location 1

Location 1206 E Downing StTahlequah, OK 74464-3000 · Phone (918) 456-0977

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Justin Roberts Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74955 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Optometrist
301 S J T STITES ST
SALLISAW, OK 74955
Registered Nurse (Community Health)
301 S J T STITES ST
SALLISAW, OK 74955
Licensed Practical Nurse
301 S J T STITES ST
SALLISAW, OK 74955
Registered Nurse (Diabetes Educator)
301 S J T STITES ST
SALLISAW, OK 74955
Registered Nurse
301 S J T STITES ST
SALLISAW, OK 74955
Licensed Practical Nurse
301 S J T STITES ST
SALLISAW, OK 74955
Physical Therapist
301 S J T STITES ST
SALLISAW, OK 74955
Dental Hygienist
301 S J T STITES ST
SALLISAW, OK 74955

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548754054, enumerated as an "individual" on June 18, 2018.

The provider is located at 301 S J T STITES ST SALLISAW, OK 74955 and the phone number is (918) 775-9150.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.