DR. MICHAEL RAYMOND ROBERTSON D.M.D. - NPI 1780702241

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

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About Dr. Michael Raymond Robertson D.m.d. NPPES

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

DR. MICHAEL RAYMOND ROBERTSON D.M.D. (NPI 1780702241) is an individual periodontics provider in Cottonwood, Arizona, licensed in Arizona (4515) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1780702241

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. MICHAEL RAYMOND ROBERTSONCredential: D.M.D.

Location Address657 E COTTONWOOD ST, SUITE 1Cottonwood, AZ 86326-4407

Mailing Address657 East Cottonwood Street, Suite 1Cottonwood, AZ 86326-4407 · (928) 634-5033

Phone(928) 634-5033

Sole ProprietorYes

Enumeration DateMarch 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1780702241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in AZ · 4515

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

657 E COTTONWOOD ST, Cottonwood, AZ 86326

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