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Dr. Alexa Brady Ellingsen Roehrig, DDS
General Practice Dentistry in De Witt, New York
NPI 1962992834

Alexa Brady Ellingsen Roehrig is a General Practice Dentistry based in Spokane, NY and is specialized in General Practice. Alexa Brady Ellingsen Roehrig practices in De Witt, NY and has the professional credentials of DDS. The NPI Number for Alexa Brady Ellingsen Roehrig is 1962992834 and holds a License No. (New York).

The current practice location address for Alexa Brady Ellingsen Roehrig is 3425 Erie Blvd E, De Witt, NY and can be reached out via phone at 315-445-9400.

Location: 3425 Erie Blvd E, De Witt, NY, 99218-2946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962992834
Provider Name
Alexa Brady Ellingsen Roehrig
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3425 Erie Blvd E, De Witt, NY, 99218-2946
Phone Number
315-445-9400
Fax Number
Provider Enumeration Date
05/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3425 Erie Blvd E
City
De Witt
State
New York
Zip
13214-1635
Phone Number
315-445-9400
Fax Number
person
Provider Business Mailing Address Details
Address
3425 Erie Blvd E
City
De Witt
State
New York
Zip
13214-1635
Phone Number
315-445-9400
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
060673-01 (New York)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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