Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY R ROTH, DMD
Active Sole ProprietorJEFFREY R ROTH, DMD is a General Dentistry healthcare provider located in HAILEY, Idaho. NPI 1144399189 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · HAILEY, ID
Registration Details
- NPI Number
- 1144399189
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2006 (19.740577161587 yrs)
- Last Updated
- Oct 19, 2010
- License
-
D3778 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
408 S MAIN ST STE 1HAILEY, ID, 833338402Browse ID providers · Browse ZIP 83333
- Phone
- 2087887766
- Fax
- 2087889920
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in HAILEY, ID
| Name | Credential | NPI |
|---|---|---|
| DR. RONALD EDWARD FAIRFAX | D.D.S. | 1508966300 |
| DR. CHASE ALAN BENSON | DMD | 1871159681 |
| DR. MATTHEW HAAS | DMD | 1841922689 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.