Mesa Roth is a Dentist in Evans, Colorado. Mesa Roth practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mesa Roth is 1043411994. The last update date is 2014-06-03.
Mesa Roth's current location address is 2930 11th Ave, Evans, Colorado. You can contact this provider via phone number 9703539403 and fax number 9703539906. The mailing address for Mesa Roth is 2930 11th Ave, Evans, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mesa Roth |
|---|---|
| Address | 2930 11th Ave, Evans, Colorado |
| Phone Number | 9703539403 |
| Fax Number | 9703539906 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1043411994 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2014-06-03 |
Provider Mailing Address Detail
| Address | 2930 11th Ave |
|---|---|
| City | Evans |
| State | Colorado (CO) |
| Post Code | 806201011 |
| Phone Number | 9703539403 |
| Fax Number | 9703539906 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9286 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11379766 | CO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mesa Roth by the Centers for Medicare & Medicaid Services (CMS)?
The Mesa Roth has been assigned the NPI (National Provider Identifier) 1043411994. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Mesa Roth is physically located?
The Mesa Roth is physically situated at the following address: 2930 11Th Ave, Evans, CO, 806201011.
What is Mesa Roth's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mesa Roth is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date was the 1043411994 assigned to Mesa Roth?
The Mesa Roth was issued its 1043411994 on 2007-05-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Mesa Roth's information last updated?
The Mesa Roth's information was last updated on 2014-06-03.