Charles D Roth is a Dentist in Rock Hall, Maryland. Charles D Roth practices all healthcare services and medical treatments related to Dentist. The NPI Number for Charles D Roth is 1568682060. The last update date is 2007-07-08.
Charles D Roth's current location address is 5775 Main Street, Rock Hall, Maryland. You can contact this provider via phone number 4107781234 and fax number 4107780232. The mailing address for Charles D Roth is 5775 Main Street, Rock Hall, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles D Roth |
|---|---|
| Address | 5775 Main Street, Rock Hall, Maryland |
| Phone Number | 4107781234 |
| Fax Number | 4107780232 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1568682060 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5775 Main Street |
|---|---|
| City | Rock Hall |
| State | Maryland (MD) |
| Post Code | 21661 |
| Phone Number | 4107781234 |
| Fax Number | 4107780232 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9769 |
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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 |
|---|---|---|---|
| 9769 | MD | MD STATE DENTAL LICENSE # |
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What is the unique 10-digit identification code issued to Charles D Roth by the Centers for Medicare & Medicaid Services?
The Charles D Roth has been assigned the NPI (National Provider Identifier) 1568682060 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Charles D Roth's physical address?
The Charles D Roth is physically located at 5775 Main Street, in the city of Rock Hall, MD, with the postal code 21661.
What is the Charles D Roth's specialty and taxonomy code?
The Charles D Roth's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568682060 to Charles D Roth?
The Centers for Medicare & Medicaid Services assigned the 1568682060 to Charles D Roth on 2007-04-26.
As of what date were the details pertaining to Charles D Roth last refreshed?
The information related to the Charles D Roth, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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