Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760746747 Individual Practitioner Male Practitioner

Dr. Micah A Roberts , DMD

Dentist - General Practice • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Micah Roberts, DMD is a registered healthcare professional specializing in Dentist - General Practice in Peoria, IL. Practice services are available at 4517 N ROCKWOOD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4517 N Rockwood Dr

Peoria, IL 616153841

Telephone 3096930043
Fax 3096885643
Associated Practice Facility / Clinic
🏢 Peoria Dental Care Facility NPI 1851909345

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
74 Specialists

Practicing in Peoria, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019029023

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License IL 019.029023

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Robert Wynn , DMD

Dentist - General Practice

NPI 1144352170

Doctor of Dental Medicine

NPI 1326108846

Doctor of Dental Surgery

NPI 1538613880

Doctor of Dental Medicine

Dr. Matthew Liesen , DMD

Dentist - General Practice

NPI 1619350725

Doctor of Dental Medicine

NPI 1851777064

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 06, 2020

Registered at 4517 N ROCKWOOD DR, PEORIA, IL 616153841 (Tel: 3096930043)

📍
Updated Business Mailing Address October 06, 2020

Registered at 4517 N ROCKWOOD DR, PEORIA, IL 616153841 (Tel: 3096880121)

NPI Profile Active August 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2012

Registered at 7620 N UNIVERSITY ST, PEORIA, IL 616141297 (Tel: 3096930043)

📍
Updated Business Mailing Address August 09, 2012

Registered at 7620 N UNIVERSITY ST, PEORIA, IL 616141297

👤
Provider Name / Credentials Updated August 09, 2012

Recorded as MICAH ROBERTS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2012

Dentist (License #019.029023 in IL)

🟢
Initial NPI Registration & Enumeration June 25, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Micah Roberts. Be the first to share your experience!

Sign in to leave a review for Dr. Micah Roberts

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1760746747
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2012
Last Update: October 06, 2020
Sole Proprietor: No

Mailing Address

4517 N Rockwood Dr

Peoria, IL 616153841

Phone: 3096880121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.