Kenneth Roberts, D.D.S.
NPI 1124245006 · General Practice Dentistry · South Lyon, MI
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Roberts, D.D.S. is a General Practice Dentistry provider in South Lyon, MI (NPI 1124245006).
Provider details
- NPI number
- 1124245006
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2901013871 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kenneth Roberts's NPI number?
- Kenneth Roberts's National Provider Identifier (NPI) is 1124245006, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Roberts's specialty?
- Kenneth Roberts is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Kenneth Roberts located?
- Kenneth Roberts's practice location on file with NPPES is 546 N Lafayette St, South Lyon, MI 48178-2000.
- What is Kenneth Roberts's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Roberts is (248) 486-1730.
- Does Kenneth Roberts accept Medicare?
- Kenneth Roberts is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Roberts's NPI active?
- Yes — Kenneth Roberts's NPI (1124245006) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.