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Dr. Shane Patrick Roche, DMD
Student in an Organized Health Care Education/Training Program in Youngstown, Ohio
NPI 1649724782

Shane Patrick Roche is a Student in an Organized Health Care Education/Training Program based in Youngstown, OH. Shane Patrick Roche practices in Youngstown, OH and has the professional credentials of DMD. The NPI Number for Shane Patrick Roche is 1649724782 and holds a License No. (Ohio).

The current practice location address for Shane Patrick Roche is 1001 Covington St, Youngstown, OH and can be reached out via phone at 330-480-1366 and via fax at 330-480-1366. You can also correspond with Shane Patrick Roche through the mailing address at 1250 SIGNATURE DR, YOUNGSTOWN, OH - 44515-3867 (mailing address contact number: 330-881-6197).

Location: 1001 Covington St, Youngstown, OH, 44515-3867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649724782
Provider Name
Shane Patrick Roche
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1001 Covington St, Youngstown, OH, 44515-3867
Phone Number
330-480-1366
Fax Number
330-480-1366
Provider Enumeration Date
08/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1001 Covington St
City
Youngstown
State
Ohio
Zip
44510-1617
Phone Number
330-480-1366
Fax Number
330-480-1366
person
Provider Business Mailing Address Details
Address
1001 Covington St
City
Youngstown
State
Ohio
Zip
44510-1617
Phone Number
330-480-1366
Fax Number
330-480-1366
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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