Search › Colorado › 1223G0001X
Shannon Roberts, D.D.S
NPI 1740535814 · on the registry since 2012 · sole proprietor
Practice
- Address
- 559 Vincent St Bldg 959
Peterson Afb, CO 80914 - Phone
- (719) 556-1333
- Organisation at this address
- 21st Medical Group
21st Medgrp-PetersonInferred from a shared address, not stated in the registry. - Clinicians at this address
- 77
Additional practice sites
- 5925 Lehman Dr, Colorado Springs, CO
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- TX, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado