KELLY ANN ROTH (NPI# 1104837111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104837111 |
| Entity Type | Individual |
| Full Name | KELLY ANN ROTH |
| Credential | D.D.S. |
| Practice Address |
1515 Portage St Nw Suite I North Canton OH 44720-2290 |
| Mailing Address |
7077 Pebblestone Ave Nw North Canton OH 44720-6679 |
| Practice Telephone | 3304940646 |
| Practice Fax Number | 3304949181 |
| Mailing Telephone | 3304339070 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
20709 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214209 | Kelly Roth | Pharmacist | 230 Route 23, Franklin, NJ 07416-2008 | 2020-10-27 |
| 1346892270 | Kelly Ann Roth | Internal Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2019-07-11 |
| 1790209864 | Kelly Ann Roth | Orthotist | 17530 Dugdale Dr, South Bend, IN 46635-1583 | 2017-08-01 |
| 1760939680 | Kelly Roth | Physician Assistant | 82 New Park Ave, North Franklin, CT 06254-1807 | 2016-09-08 |
| Street Address |
1515 PORTAGE ST NW SUITE I |
| City | NORTH CANTON |
| State | OH |
| Zip Code | 44720-2290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720092745 | Leland Quinten Campbell II | Dentist | 1515 Portage St Nw, Suite D, North Canton, OH 44720-2290 | 2006-07-27 |
| 1770996662 | Priyanka Mude | Podiatrist | 1515 Portage St Nw, North Canton, OH 44720-2290 | 2014-06-09 |
| 1386828879 | Henry A Vanhala | Dentist | 1515 Portage St Nw, North Canton, OH 44720-2290 | 2007-12-20 |
| 1295919785 | Brent A Vanhala | Dentist | 1515 Portage St Nw, North Canton, OH 44720-2290 | 2007-12-20 |
| 1821281684 | Lawrence M. Cohen, Dpm,inc | Podiatrist | 1515 Portage St Nw, Suite A, North Canton, OH 44720-2290 | 2007-08-23 |
| 1740360593 | Michael Douglas Babics | Dentist | 1515 Portage St Nw, Suite H, North Canton, OH 44720-2290 | 2006-10-16 |
| 1043307267 | Neidert Chiropractic, Inc. | Chiropractor | 1515 Portage St Nw, Suite C, North Canton, OH 44720-2290 | 2006-10-08 |
| 1134215767 | William Konrad Neidert Jr. | Chiropractor | 1515 Portage St Nw, Suite C, North Canton, OH 44720-2290 | 2006-10-04 |
| 1851401590 | Henry A Van Hala Dds Inc | Dentist | 1515 Portage St Nw, North Canton, OH 44720 | 2006-08-30 |
| 1497769863 | Lawrence M Cohen | Podiatrist | 1515 Portage St Nw, Suite A, North Canton, OH 44720-2290 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351251 | Mark Allan Joki | Counselor | 1303 W. Maple St., Suite 103, North Canton, OH 44720 | 2018-10-11 |
| 1700305794 | Alexis Katherine Hundley | Specialist/Technologist | 1378 Devon Drive, North Canton, OH 44720 | 2017-09-12 |
| 1376060780 | Universal Impex Inc. | Day Training, Developmentally Disabled Services | 6868 Farmcrest Cir Nw., North Canton, OH 44720 | 2017-08-25 |
| 1083066203 | Wendy Barnett | Registered Nurse | 8722 Grimes Ave Nw, North Canton, OH 44720 | 2016-07-12 |
| 1336590389 | Amanda L Cockerell | Occupational Therapy Assistant | 330 E Maple St, North Canton, OH 44720 | 2016-06-30 |
| 1467808063 | Ryan Monti | Physical Therapist | 6285 Promler St Nw, North Canton, OH 44720 | 2016-05-12 |
| 1467816124 | Jami Lynn Fisher | Occupational Therapist | 6057 Strip Avenue Nw, North Canton, OH 44720 | 2016-04-08 |
| 1801255427 | Steven R Fricke | Psychologist | 239 Portage St. Ne, North Canton, OH 44720 | 2016-02-11 |
| 1396124814 | Burkins Ritchie & Assco LLC | Counselor | 1206 N. Main St, North Canton, OH 44720 | 2015-05-29 |
| 1073992590 | Max Dean Burkins | Counselor | 1206 N. Main St., North Canton, OH 44720 | 2015-05-29 |
| Find all providers in zip 44720 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265092969 | Antonio Stavros Ganios | Dentist | 1225 S Main St Ste A, North Canton, OH 44720-4247 | 2019-06-17 |
| 1801353206 | Jeffrey W Glynn | Dentist | North Canton - Glynn Family Dental, 129 Easton St Ne, North Canton, OH 44721 | 2019-02-22 |
| 1124168950 | Michael Leahy Thomas | Dentist | 1421 Portage St Nw, North Canton, OH 44720-2289 | 2007-02-08 |
| 1205922994 | John A Agelopoulos | Dentist | 1177 South Main, North Canton, OH 44790 | 2006-10-04 |
| 1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
| 1659477594 | Robert K Osborne | Dentist | 1177 South Main Street, North Canton, OH 44720 | 2006-09-16 |
| 1952412199 | Thomas & Associates Dds | Dentist | 1421 Portage Street Nw, North Canton, OH 44720 | 2006-08-31 |
| 1114034220 | Francis Andrew Bertolini | Dentist | 6500 Whipple Ave Nw, North Canton, OH 44720-7340 | 2006-08-24 |
| 1881605772 | Larry J Brandau Dds LLC | Dentist | 1619 N Main St, North Canton, OH 44720 | 2006-08-10 |
| 1841232998 | Julie Marie Thomas | Dentist | 1437 S Main St, North Canton, OH 44720-4245 | 2006-06-12 |
| Find all providers in NORTH CANTON | ||||
| City | NORTH CANTON |
| Zip Code | 44720 |
Please comment or provide details below to improve the information on KELLY ANN ROTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.