Alex K Roh is a Pediatric Dentistry in Gainesville, Georgia. Alex K Roh practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Alex K Roh is 1760659296. The last update date is 2021-01-05.
Alex K Roh's current location address is 655 Jesse Jewell Pkwy Se Ste D, Gainesville, Georgia. You can contact this provider via phone number 7702879010. The mailing address for Alex K Roh is 655 Jesse Jewell Pkwy Se Ste D, Gainesville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alex K Roh |
|---|---|
| Address | 655 Jesse Jewell Pkwy Se Ste D, Gainesville, Georgia |
| Phone Number | 7702879010 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD, CAGS |
NPI Number Detail
| NPI Number | 1760659296 |
|---|---|
| Provider Enumeration Date | 2008-05-14 |
| Last Updated Date | 2021-01-05 |
Provider Mailing Address Detail
| Address | 655 Jesse Jewell Pkwy Se Ste D |
|---|---|
| City | Gainesville |
| State | Georgia (GA) |
| Post Code | 305013854 |
| Phone Number | 7702879010 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DN015316 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 286197303 | TX | -- | |
| 221163 | MA | -- |
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What is the unique 10-digit identifier code issued to Alex K Roh by the Centers for Medicare & Medicaid Services?
The Alex K Roh has been assigned the NPI (National Provider Identifier) 1760659296 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Alex K Roh?
The Alex K Roh is physically situated at 655 Jesse Jewell Pkwy Se Ste D, in the city of Gainesville, state of GA, with the postal code 305013854.
What is Alex K Roh's area of expertise and its corresponding taxonomy classification?
The Alex K Roh's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1760659296 to Alex K Roh?
The Alex K Roh received its 1760659296 assignment from the Centers for Medicare & Medicaid Services on 2008-05-14.
As of what date were the details related to Alex K Roh most recently updated or revised?
The information pertaining to Alex K Roh, including its address, specialty, and other relevant details, was last updated or revised on 2021-01-05.
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