Dr. Stephen R. Roberts , DDS
Dentist • Nett Lake, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Roberts has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Stephen Roberts, DDS was a registered Dentist practicing in Nett Lake, MN. Throughout an active medical career spanning 14 years, Dr. Roberts provided care at the practice location at 5219 ST JOHN DRIVE until profile deactivation on 2021-06-16.
Practice Location & Contact Primary Location
5219 St John Drive
Nett Lake, MN 557728232
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Nett Lake, MN
Practicing in Nett Lake, MN (1863 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122300000X
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
Physician Assistant - Medical
Physician Assistant
Family Medicine
Doctor of Medicine (M.D.)
Dentist
Doctor of Dental Surgery
Pharmacist - Ambulatory Care
Doctor of Pharmacy (Pharm.D.)
Family Medicine
Doctor of Medicine (M.D.)
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 16, 2021
NPI status registered as active in NPPES database
Registered at 1613 FARM RD S, TOWER, MN 55790 (Tel: 2187532182)
Registered at 5219 ST JOHN DRIVE, NETT LAKE, MN 557728232 (Tel: 2187573295)
Recorded as STEPHEN ROBERTS, D.D.S.
Dentist (License #9401 in CO)
NPI status registered as active in NPPES database
Registered at 5219 ST JOHN DRIVE, NETT LAKE, MN 557728232 (Tel: 2187573295)
Registered at 5219 ST JOHN DRIVE, NETT LAKE, MN 557728232 (Tel: 2187573295)
Recorded as STEPHEN ROBERTS, D.D.S.
Dentist (License #D10683 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5219 St John Drive
Nett Lake, MN 557728232
Phone: 2187573295
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