NPI 1003891748

Raynese S. Roberts, DDS

Practitioner Periodontics Fpo, AE

Practice location

Address: Psc 808 Box 19, Fpo, AE 09618
Phone: (081) 811-6000
Mailing address: U.S. Naval Hospital Via Contrada Boscariello, Gricignano Di Aversa, CE 81030

Registered specialties (2)

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence 30.020955 (OH)

Other Dentist providers in Armed Forces Europe →

Periodontics

Dental Providers Taxonomy 1223P0300X Licence 53140 (CA)

Registry record

NPI: 1003891748
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2005
Record last updated: 22 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.