JEFFREY R ROTH (NPI# 1144399189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144399189 |
| Entity Type | Individual |
| Full Name | JEFFREY R ROTH |
| Credential | DMD |
| Practice Address |
408 S Main St Ste 1 Hailey ID 83333-8402 |
| Mailing Address |
Po Box 727 408 South Main Street, Suite 1 Hailey ID 83333-0727 |
| Practice Telephone | 2087887766 |
| Practice Fax Number | 2087889920 |
| Mailing Telephone | 2087887766 |
| Mailing Fax Number | 2087889920 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2010-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D3778 | ID | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806932600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386966653 | Jeffrey Eugene Roth | Pharmacist | 4041 Washington Rd, Mc Murray, PA 15317-2520 | 2010-02-26 |
| 1871629006 | Jeffrey M Roth | Physical Therapist | 9004 Woodview Dr, Pittsburgh, PA 15237-4163 | 2007-02-23 |
| 1699862219 | Jeffrey D Roth | Social Worker | 333 N Washington, Ste 260, Hutchinson, KS 67501 | 2006-10-06 |
| 1437196631 | Jeffrey M Roth | Optometrist | 725 Erie Blvd W, Syracuse, NY 13204-2229 | 2006-05-31 |
| 1932109212 | Jeffrey Joseph Roth | Plastic Surgery | 9280 W Sunset Rd Ste 236, Las Vegas, NV 89148-4861 | 2005-07-28 |
| 1326255340 | Jeffrey Lewis Roth | Dentist | Cmr 454, Box 1272, Apo, AE 09250-1272 | 2007-05-17 |
| 1598886558 | Jeffrey Roth | Counselor | 240 N James St, Suites 104-106, Wilmington, DE 19804-3169 | 2007-04-03 |
| 1184734584 | Jeffrey A Roth | Internal Medicine | 6600 Madison St, New Port Richey, FL 34652-1971 | 2006-08-30 |
| 1396752721 | Jeffrey David Roth | Psychiatry & Neurology | 25 E Washington St, Suite 1811, Chicago, IL 60602-1708 | 2006-08-01 |
| 1902868201 | Jeffrey Clark Roth | Internal Medicine | 2600 Redondo Ave, Long Beach, CA 90806-2329 | 2006-04-04 |
| Street Address |
408 S MAIN ST STE 1 |
| City | HAILEY |
| State | ID |
| Zip Code | 83333-8402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227534 | Bonnie Bray | Community/Behavioral Health | 99 East Fork Road, Hailey, ID 83333 | 2020-05-18 |
| 1174010573 | Kh Counseling & Health Center, LLC | Social Worker | 409 N Main Street, Hailey, ID 83333 | 2018-04-20 |
| 1306126909 | Brad A Bjorsness | Pharmacist | 911 N. Main, Hailey, ID 83333 | 2011-08-26 |
| 1821384520 | Lee Pesky Learning Center | Local Education Agency (LEA) | 1060 Fox Acres Rd, Hailey, ID 83333 | 2011-06-22 |
| 1245478684 | Marlin Layne Felton | Pharmacist | 830 Deerfield Drive, Hailey, ID 83333 | 2009-01-22 |
| 1023230992 | Lawrence I Weiner | Psychiatry & Neurology | 202 Indian Creek Rd, Hailey, ID 83333 | 2007-05-02 |
| 1730308305 | Betty Lee Brooks | Counselor | 1811 Laurelwood Dr, Hailey, ID 83333 | 2007-04-24 |
| 1639231459 | Mary Ellen Oleary | Physical Therapist | 150 6th Ave, Hailey, ID 83333 | 2006-12-15 |
| 1851450498 | Donald Edwin Spengler | Dentist | 400 S Main Street, Hailey, ID 83333 | 2006-12-08 |
| 1831268341 | Cynthia Kay Unger | Dentist | 219 S River, Hailey, ID 83333 | 2006-11-07 |
| Find all providers in zip 83333 | ||||
| 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 |
|---|---|---|---|---|
| 1083877674 | Wood River Dental Care | Dentist | 317 S River St, Hailey, ID 83333-8426 | 2008-07-03 |
| 1508966300 | Ronald Edward Fairfax | Dentist | 14 E. Elm St., Hailey, ID 83333 | 2006-09-22 |
| 1508479460 | Noelle Houck-mckenney | Dentist | 503 N Main St, Hailey, ID 83333-8417 | 2020-08-28 |
| 1073995403 | Hillary Whipple Dmd | Dentist | 5 E Galena St, Hailey, ID 83333-8858 | 2015-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304556 | Birchwood Dental, Pllc | Dentist | 3325 N Ten Mile Rd Ste 140, Meridian, ID 83646-6951 | 2020-07-29 |
| 1588273635 | Atlantis Dental Care, P.a. | Dentist | 13238 W Persimmon Ln Ste 100, Boise, ID 83713-1968 | 2020-07-24 |
| 1235747338 | Dentists of Boise and Orthodontics, PC | Dentist | 7500 W State St Ste 110, Boise, ID 83714-6074 | 2020-07-15 |
| 1346895232 | Tejasi Avasare | Dentist | 8321 W Overland Rd, Boise, ID 83709-1640 | 2019-08-07 |
| 1740835248 | Braden Comstock | Dentist | 2329 N Merritt Creek Loop, Coeur D Alene, ID 83814-4950 | 2019-08-02 |
| 1902450430 | Jaren M Thueson | Dentist | 106 E 1st N, Rexburg, ID 83440-1614 | 2019-08-01 |
| 1528610359 | Melissa Marie Pysnak | Dentist | 8850 W Emerald St Ste 150, Boise, ID 83704-4809 | 2019-07-11 |
| 1811555758 | Daniel Whitesitt | Dentist | 14596 Id-41, Rathdrum, ID 83858 | 2019-06-05 |
| 1104483122 | Meghan Cyrena Bristlin | Dentist | 3326 4th St Ste 3, Lewiston, ID 83501-4455 | 2019-05-24 |
| 1124684584 | Trevor Tafoya Dds Victory Dental, Pllc | Dentist | 7421 W Victory Rd, Boise, ID 83709-5106 | 2019-05-11 |
| Find all providers with the same taxonomy | ||||
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| 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.