Justin Lee Roth in Colorado Springs - Dentist
Justin Lee Roth - NPI 1104827930
Justin Lee Roth is a Dentist in Colorado Springs, Colorado. Justin Lee Roth practices all healthcare services and medical treatments related to Dentist. The NPI Number for Justin Lee Roth is 1104827930. The last update date is 2007-07-08.
Justin Lee Roth's current location address is 5929 Constitution Ave, Colorado Springs, Colorado. You can contact this provider via phone number 7196381986 and fax number 7196387532. The mailing address for Justin Lee Roth is 5929 Constitution Ave, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Lee Roth |
|---|---|
| Address | 5929 Constitution Ave, Colorado Springs, Colorado |
| Phone Number | 7196381986 |
| Fax Number | 7196387532 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1104827930 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5929 Constitution Ave |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809151211 |
| Phone Number | 7196381986 |
| Fax Number | 7196387532 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3407 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Justin Lee Roth by the Centers for Medicare & Medicaid Services?
The Justin Lee Roth has been assigned the NPI (National Provider Identifier) 1104827930 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Justin Lee Roth?
The Justin Lee Roth is situated at 5929 Constitution Ave, in the city of Colorado Springs, state of CO, with the zip code 809151211.
What is Justin Lee Roth's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Justin Lee Roth is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date was the 1104827930 assigned to Justin Lee Roth?
The Justin Lee Roth was issued its 1104827930 on 2005-08-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Justin Lee Roth's details last updated?
The information pertaining to the Justin Lee Roth, including its address, specialty, and other details, was most recently updated on 2007-07-08.