IndividualActive
Jared Roberts, D.D.S
NPI 1366726234 · Periodontics · Tucson, AZ
Provider details
- NPI number
- 1366726234
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- No
- License
- 80275999922 (UT)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1751 W Orange Grove Rd
Suite 101
Tucson, AZ 85704-1192
Phone: (520) 742-4227
Fax: (520) 742-4892
Approximate (ZIP-level) locationGet directions
Mailing address
1751 W Orange Grove Rd
Tucson, AZ 85704-1192
Registry dates
- Enumerated
- 2011-10-10
- Last updated
- 2015-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.