IndividualActive
Roberto Lara, DMD
NPI 1497493084 · Public Health Dentistry · Brunswick, GA
Provider details
- NPI number
- 1497493084
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DN122646 (GA)
Specialties & taxonomies
Dental Providers
Practice location
106 Shoppers Way Ste 108
Brunswick, GA 31525-0522
Phone: (912) 342-7622
Approximate (ZIP-level) locationGet directions
Mailing address
106 Shoppers Way Ste 108
Brunswick, GA 31525-0522
Registry dates
- Enumerated
- 2022-05-24
- Last updated
- 2022-05-24
- Certified
- 2022-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.