Peter Charles Roth in Mankato - Dentist

Peter Charles Roth - NPI 1093821126

Peter Charles Roth is a Dentist in Mankato, Minnesota. Peter Charles Roth practices all healthcare services and medical treatments related to Dentist. The NPI Number for Peter Charles Roth is 1093821126. The last update date is 2007-07-08.

Peter Charles Roth's current location address is 121 E Main St, Mankato, Minnesota. You can contact this provider via phone number 5073453060 and fax number 5073454520. The mailing address for Peter Charles Roth is 121 E Main St, Mankato, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Charles Roth
Address 121 E Main St, Mankato, Minnesota
Phone Number 5073453060
Fax Number 5073454520
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1093821126
Provider Enumeration Date 2006-08-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 121 E Main St
City Mankato
State Minnesota (MN)
Post Code 560013579
Phone Number 5073453060
Fax Number 5073454520

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 7701
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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FAQs about Peter Charles Roth

What is the unique 10-digit identification code assigned to Peter Charles Roth by the Centers for Medicare & Medicaid Services?

The Peter Charles Roth has been issued the NPI (National Provider Identifier) 1093821126, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Peter Charles Roth is physically located?

The Peter Charles Roth is physically situated at the following address: 121 E Main St, Mankato, MN, 560013579.

What is the area of specialization for Peter Charles Roth, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Peter Charles Roth is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

When did Peter Charles Roth receive its 1093821126 assignment?

The Peter Charles Roth was assigned its 1093821126 on 2006-08-22, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Peter Charles Roth, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Peter Charles Roth, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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