IndividualActive
Donald Robertson, PERIODONTIST
NPI 1891996831 · Periodontics · Phoenix, AZ
Provider details
- NPI number
- 1891996831
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- PERIODONTIST
- Sex
- Male
- Sole proprietor
- No
- License
- D1274 (AZ)
Specialties & taxonomies
Dental Providers
Practice location
6520 N 7th Ave
Suite #5
Phoenix, AZ 85013-1158
Phone: (602) 242-2588
Fax: (602) 242-3137
Approximate (ZIP-level) locationGet directions
Mailing address
6520 N 7th Ave
Phoenix, AZ 85013-1158
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 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.