Dr. John Michael Roberson , DDS
Dentist - General Practice • Desoto, TX
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. John Roberson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Roberson, DDS was a registered Dentist - General Practice practicing in Desoto, TX. Throughout an active medical career spanning 16 years, Dr. Roberson provided care at the practice location at 2801 DUKE OF GLOUCESTER ST STE 103 until profile deactivation on 2023-05-10.
Practice Location & Contact Primary Location
2801 Duke Of Gloucester St Ste 103
Desoto, TX 751152051
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Desoto, TX
Practicing in Desoto, TX (10570 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 10, 2023
NPI status registered as active in NPPES database
Registered at 2801 DUKE OF GLOUCESTER ST STE 103, DESOTO, TX 751152051 (Tel: 9722961471)
Registered at 2801 DUKE OF GLOUCESTER ST STE 103, DESOTO, TX 751152051 (Tel: 9722961471)
Recorded as JOHN ROBERSON, D.D.S.
Dentist (License #9454 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2801 Duke Of Gloucester St Ste 103
Desoto, TX 751152051
Phone: 9722961471
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