Mary K. Roth D.D.S. Pc in Rapid City - Dental

Mary K. Roth D.D.S. Pc - NPI 1699976902

Mary K. Roth D.D.S. Pc is a Dental in Rapid City, South Dakota. Mary K. Roth D.D.S. Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Mary K. Roth D.D.S. Pc is 1699976902. The last update date is 2008-06-10.

Mary K. Roth D.D.S. Pc's current location address is 807 Saint Andrew St, Rapid City, South Dakota. You can contact this provider via phone number 6053439352 and fax number 6053433115. The mailing address for Mary K. Roth D.D.S. Pc is 807 Saint Andrew St, Rapid City, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mary K. Roth D.D.S. Pc
Address 807 Saint Andrew St, Rapid City, South Dakota
Phone Number 6053439352
Fax Number 6053433115
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTER
Authorized Official Name Roth Kay Mary
Credentials D.D.S.
Telephone Number 6053439352

NPI Number Detail

NPI Number 1699976902
Provider Enumeration Date 2007-05-31
Last Updated Date 2008-06-10

Provider Mailing Address Detail

Address 807 Saint Andrew St
City Rapid City
State South Dakota (SD)
Post Code 577014526
Phone Number 6053439352
Fax Number 6053433115

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No M697
Definition:
Provides general and specialized dental care and oral surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7805870 SD --
BR1122302 SD OTHER

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FAQs about Mary K. Roth D.D.S. Pc

What is the unique provider identifier assigned to Mary K. Roth D.D.S. Pc?

The Mary K. Roth D.D.S. Pc has been issued the NPI (National Provider Identifier) 1699976902 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Mary K. Roth D.D.S. Pc located?

The Mary K. Roth D.D.S. Pc is located at 807 Saint Andrew St, Rapid City, SD 577014526.

What is Mary K. Roth D.D.S. Pc's area of expertise and its corresponding taxonomy classification?

The Mary K. Roth D.D.S. Pc's field of specialization is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Mary K. Roth D.D.S. Pc receive its 1699976902 assignment from the Centers for Medicare & Medicaid Services?

The Mary K. Roth D.D.S. Pc was assigned its 1699976902 by the Centers for Medicare & Medicaid Services on 2007-05-31.

As of what date were the details pertaining to Mary K. Roth D.D.S. Pc last refreshed?

The information related to the Mary K. Roth D.D.S. Pc, including its address, specialty, and other relevant details, was last updated on 2008-06-10.

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