Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Roberson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558948216

John Roberson is a Student in an Organized Health Care Education/Training Program in Mountain Brk, Alabama. Licensed in Alabama. Registered with an NPI since 2021.

Licensed in
AL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

357 Ofc Park DR
Mountain Brk, AL 35223-5401
Phone: (205) 871-2838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D-0006910-C1 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558948216
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022
Mailing address357 Office Park Dr, Mountain Brk, AL 35223-5401

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