DR. MARK DAVID ROTH (NPI# 1770641284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770641284 |
| Entity Type | Individual |
| Full Name | DR. MARK DAVID ROTH |
| Credential | D.D.S. |
| Practice Address |
3200 S University Dr Davie FL 33328-2018 |
| Mailing Address |
840 Mockingbird Ln Plantation FL 33324-3406 |
| Practice Telephone | 9544720418 |
| Mailing Telephone | 9544720418 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6440 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352274 | Mark Roth | Pathology | National Cancer Institute Bldg 10, Room 2s235k, Bethesda, MD 20892-0001 | 2020-09-25 |
| 1356651640 | Mark David Roth | Behavioral Analyst | 118 Maple St, Bangor, ME 04401-4032 | 2010-10-20 |
| 1740313014 | Mark Julian Roth | Dentist | 53 Connecticut Blvd, East Hartford, CT 06108-3055 | 2007-03-14 |
| 1801998893 | Mark Allan Roth | Internal Medicine | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2006-09-01 |
| 1881638690 | Mark R Roth | Psychologist | 333 N Alabama St, Suite 350, Indianapolis, IN 46204-2034 | 2006-06-15 |
| 1144210279 | Mark D Roth | Surgery | 45 Roadside Ave, Waynesboro, PA 17268-2542 | 2005-10-28 |
| 1083998892 | Mark Roth | Pharmacist | 900 Center Blvd, #246 Pharmacy, Newark, DE 19702-3221 | 2011-09-29 |
| 1609927334 | Mark Samuel Roth | Pediatrics | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2007-01-16 |
| Street Address |
3200 S UNIVERSITY DR |
| City | DAVIE |
| State | FL |
| Zip Code | 33328-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495525 | Sharon Crane Siegel | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2005-05-24 |
| 1902419609 | Erika Zwachte | Pharmacist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-24 |
| 1578174462 | Teresa Aliana Gonzalez Escalona | Student in an Organized Health Care Education/Training Program | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-13 |
| 1396356275 | Fahra Y Dawood | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-13 |
| 1457962235 | Serena Ghodasra | Student in an Organized Health Care Education/Training Program | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-13 |
| 1487265476 | Ashley Culver | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-12 |
| 1417568635 | Yaseen Waqar | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-11 |
| 1184241465 | Sydney Si Ying Lin | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-07-02 |
| 1013534528 | Samantha Krueger | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-06-30 |
| 1124645056 | Crystal Kaye Victor | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496708 | Venise Jacqueslouis | Behavior Technician | 8001 We 36th St, Suite 9, Davie, FL 33328 | 2019-09-17 |
| 1134780539 | 1st Nursing Care Services | Registered Nurse | 10335 Sw 50th Ct, Cooper City, FL 33328 | 2019-06-26 |
| 1023572245 | Rezan Tewolde | Pharmacist | 37772 Churchill Downs Drive, Davie, FL 33328 | 2019-01-23 |
| 1497237820 | Yasmeen Dahsheh | Behavior Technician | 8001 Sw 36th Street Suite #9, Davie, FL 33328 | 2018-09-01 |
| 1831686948 | Kristal Arias | Behavior Technician | 8001 Sw 36th Street, Suite #9, Davie, FL 33328 | 2018-04-16 |
| 1952810384 | April R Hardy | Behavior Technician | 8001 Sw 36 Street Suite 9, Davie, FL 33328 | 2017-09-28 |
| 1609391556 | Courtney M Talbert | Behavior Technician | 8001 Sw 36 St, Suite 9, Davie, FL 33328 | 2017-08-11 |
| 1639619349 | Remya Mathew | General Acute Care Hospital | 10030 Grove Ln, Cooper City, FL 33328 | 2017-02-28 |
| 1184161945 | Elizabeth Stabinski | Marriage & Family Therapist | 4900 South University Drive, Suite 200d, Davie, FL 33328 | 2017-01-31 |
| 1285097659 | Pandolfi Counseling Associates, Inc. | Social Worker | 5291 Sw 89th Ave, Cooper City, FL 33328 | 2016-04-01 |
| Find all providers in zip 33328 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565813 | Robert Joseph Size IIi | Dentist | 8902 Lake Park Cir S, Davie, FL 33328-7014 | 2020-07-21 |
| 1609349877 | Comfy Smile Dental | Dentist | 11356 W State Road 84, Davie, FL 33325-4007 | 2019-01-09 |
| 1205314556 | Allyson Mchugh | Dentist | 5796 S University Dr Ste 102, Davie, FL 33328-6119 | 2018-07-30 |
| 1407239023 | Yalda Davoodi | Dentist | 6000 Toscana Dr, Apt 438, Davie, FL 33314-3482 | 2015-07-01 |
| 1629467626 | Sausha Toghranegar | Dentist | 2620 S University Dr Apt 114, Davie, FL 33328-1471 | 2015-01-13 |
| 1851793640 | Ahmed Alzubaidi | Dentist | 7085 Nova Dr Apt 213, Davie, FL 33317-8107 | 2014-09-23 |
| 1457791626 | Mehulkumar Ardeshana | Dentist | 1520 Whitehall Dr, Apt # 102, Davie, FL 33324-6639 | 2013-07-02 |
| 1285074112 | Yolaivys Valcarcel Fundora | Dentist | 1875 S University Dr, Davie, FL 33324-5805 | 2013-06-25 |
| 1215374574 | Meagan Kathleen Whitehead | Dentist | 2640 S University Dr, Apt 319, Davie, FL 33328-1473 | 2013-05-28 |
| 1902140833 | Cuartas Advanced Dentistry | Dentist | 10650 W State Road 84 Ste 213, Davie, FL 33324-4235 | 2012-11-15 |
| Find all providers in DAVIE | ||||
Please comment or provide details below to improve the information on DR. MARK DAVID 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.