Menachem D Roth in Brockton - Orthodontics And Dentofacial Orthopedics

Menachem D Roth - NPI 1093988073

Menachem D Roth is a Orthodontics And Dentofacial Orthopedics in Brockton, Massachusetts. Menachem D Roth practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Menachem D Roth is 1093988073. The last update date is 2008-04-16.

Menachem D Roth's current location address is 348 N Pearl St, Brockton, Massachusetts. You can contact this provider via phone number 5085841166. The mailing address for Menachem D Roth is 348 N Pearl St, Brockton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Menachem D Roth
Address 348 N Pearl St, Brockton, Massachusetts
Phone Number 5085841166
Fax Number
Sole Proprietor N
Credentials D.M.D.MMSC

NPI Number Detail

NPI Number 1093988073
Provider Enumeration Date 2008-04-10
Last Updated Date 2008-04-16

Provider Mailing Address Detail

Address 348 N Pearl St
City Brockton
State Massachusetts (MA)
Post Code 23011197
Phone Number 5085841166
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 21543
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Menachem D Roth

What is the unique identifier code issued to Menachem D Roth by the Centers for Medicare & Medicaid Services?

The Menachem D Roth has been assigned the NPI (National Provider Identifier) 1093988073. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Menachem D Roth is located?

The Menachem D Roth is situated at the following address: 348 N Pearl St, Brockton, MA, 23011197.

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

The specialized field of practice for Menachem D Roth is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.

On what date did Menachem D Roth receive its 1093988073 assignment from the Centers for Medicare & Medicaid Services?

The Menachem D Roth was assigned its 1093988073 on 2008-04-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Menachem D Roth most recently updated or revised?

The information pertaining to Menachem D Roth, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-16.

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