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DR. MICAH A ROBERTS DMD
NPI 1760746747
Dentist - General Practice in Peoria, IL

Active since June 25, 2012
4517 N ROCKWOOD DR, PEORIA, IL 61615(309) 693-0043(309) 688-5643 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Micah A Roberts Dmd NPPES

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

DR. MICAH A ROBERTS DMD (NPI 1760746747) is an individual general practice provider in Peoria, Illinois, licensed in Illinois (019029023) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1760746747
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICAH A ROBERTSCredential: DMD
Location Address4517 N ROCKWOOD DRPeoria, IL 61615-3841
Mailing Address4517 N Rockwood DrPeoria, IL 61615-3841 · (309) 688-0121 · Fax (309) 688-5643
Phone(309) 693-0043
Fax(309) 688-5643
Sole ProprietorNo
Enumeration DateJune 25, 2012
Last NPPES UpdateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
✔ NPI 1760746747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019029023
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 019.029023 (IL)
4517 N ROCKWOOD DR, Peoria, IL 61615
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Other Providers at the Same Location NPPES 5

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

DR. ROBERT M. WYNN DMD
Dentist (General Practice)
4517 N ROCKWOOD DR
PEORIA, IL 61615
Peoria County (309) 688-1021
ALEXANDER JAMES BOERCKEL D.M.D
Dentist
4517 N ROCKWOOD DR
PEORIA, IL 61615
Peoria County (309) 688-0121
DR. MATTHEW LIESEN DMD
Dentist (General Practice)
4517 N ROCKWOOD DR
PEORIA, IL 61615
Peoria County (309) 688-0121
PEORIA DENTAL CARE
Clinic/Center (Dental)
4517 N ROCKWOOD DR
PEORIA, IL 61615
Peoria County (309) 688-0121
MIKAYLIN WOODSIDE DMD
Dentist
4517 N ROCKWOOD DR
PEORIA, IL 61615
Peoria County (309) 688-0121

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 Micah Roberts's NPI number?

The NPI number for Micah Roberts is 1760746747. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Where is Micah Roberts located?

Micah Roberts practices at 4517 N Rockwood Dr, Peoria, IL 61615. The listed phone number is (309) 693-0043.

What is Micah Roberts's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Micah Roberts was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.