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Dr. Roger J. Roth, DMD
General Practice Dentistry in Coeur D Alene, Idaho
NPI 1700882164

Roger J. Roth is a General Practice Dentistry based in Coeur D Alene, ID and is specialized in General Practice. Roger J. Roth practices in Coeur D Alene, ID and has the professional credentials of DMD. The NPI Number for Roger J. Roth is 1700882164 and holds a License No. DD1443 (Idaho).

The current practice location address for Roger J. Roth is 1801 N 3Rd St, Coeur D Alene, ID and can be reached out via phone at 208-667-1578 and via fax at 208-765-9116.

Location: 1801 N 3Rd St, Coeur D Alene, ID, 83814-3400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700882164
Provider Name
Roger J. Roth
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1801 N 3Rd St, Coeur D Alene, ID, 83814-3400
Phone Number
208-667-1578
Fax Number
208-765-9116
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7170 01 WA WDS
4084 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1801 N 3Rd St
City
Coeur D Alene
State
Idaho
Zip
83814-3400
Phone Number
208-667-1578
Fax Number
208-765-9116
person
Provider Business Mailing Address Details
Address
1801 N 3Rd St
City
Coeur D Alene
State
Idaho
Zip
83814-3400
Phone Number
208-667-1578
Fax Number
208-765-9116
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DD1443 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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