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J. SHANE ROBERTS FAMILY DENTISTRY
NPI 1861910036
Clinic/Center - Dental in Pleasant Grove, AL

Active since September 07, 2017
904 4TH ST, PLEASANT GROVE, AL 35127(205) 744-4258(205) 744-4255 Get Directions Write a Review

NPPES record last updated: September 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About J. Shane Roberts Family Dentistry NPPES

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

J. SHANE ROBERTS FAMILY DENTISTRY (NPI 1861910036) is a healthcare organization registered as a dental in Pleasant Grove, Alabama and active in the NPI registry since September 2017. The organization lists Jerry Shane Roberts, Dentist, as its authorized official.

NPPES Registry Identity

NPI1861910036
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJ. SHANE ROBERTS FAMILY DENTISTRY
Location Address904 4TH STPleasant Grove, AL 35127-1059
Mailing AddressPo Box 445Pleasant Grove, AL 35127-0445 · (205) 744-4258 · Fax (205) 744-4255
Phone(205) 744-4258
Fax(205) 744-4255
Organization SubpartNo
Authorized OfficialJerry Shane RobertsDentist · (205) 744-4258
Enumeration DateSeptember 7, 2017
✔ NPI 1861910036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in AL · 4013
904 4TH ST, Pleasant Grove, AL 35127
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Other Providers at the Same Location NPPES

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

DR. J SHANE ROBERTS DMD
Dentist (General Practice)
904 4TH ST
PLEASANT GROVE, AL 35127
Jefferson County (205) 744-4258

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 J. Shane Roberts Family Dentistry's NPI number?

The NPI number for J. Shane Roberts Family Dentistry is 1861910036. It was assigned to this organization in the NPPES registry on September 7, 2017.

Where is J. Shane Roberts Family Dentistry located?

J. Shane Roberts Family Dentistry is located at 904 4th St, Pleasant Grove, AL 35127. The listed phone number is (205) 744-4258.

What is J. Shane Roberts Family Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for J. Shane Roberts Family Dentistry was last updated on September 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.