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

Justin L Roberts, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699065862

Justin L Roberts, DDS is a Student in an Organized Health Care Education/Training Program in Kokomo, Indiana. Practices as a sole proprietor and works from 3 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2011
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3415 S Lafountain St Ste I
Kokomo, IN 46902-3826
Phone: (765) 455-1222
Fax: (765) 455-0485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 118 S Green St, Greentown, IN 46936-1411 — (765) 455-1222
  • 138 Shawnee St, Greenville, OH 45331-2529 — (937) 547-0114

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12012271A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699065862
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 8, 2011
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing address10450 E 500 S, Kirklin, IN 46050-8800

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