DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DERRELL JAY ROACH, DDS

Active

DR. DERRELL JAY ROACH, DDS is a General Dentistry healthcare provider located in SAN ANTONIO, Texas. NPI 1386719649 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SAN ANTONIO, TX

Registration Details

NPI Number
1386719649
Provider Type
Individual
Gender
Male
NPI Issued
Nov 22, 2006 (19.730473711704 yrs)
Last Updated
Jul 8, 2007
License
18665 (TX)

Practice Information

Address
14701 SAN PEDRO
STE 250
SAN ANTONIO, TX, 78232
Browse TX providers · Browse ZIP 78232
Phone
2105079207
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in SAN ANTONIO, TX

Name Credential NPI
DR. PAUL LOUIS SLATTERY DDS 1790788461
ROBERT EWING RANEY JR. D.D.S. 1124021522
DR. CRAIG R CARLSON DDS 1811999865
DR. JOAN DREHER DDS 1073517694
DR. RICHARD LOUIS RAIMONDO JR. D.D.S. 1912902214
MR. RICHARD DOUGLAS TAVERNA PH.D.,D.D.S. 1912903444
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.