Mary K. Roth D.D.S. Pc

LBN: Mary K. Roth D.D.S. Pc
Mary K. Roth D.D.S. Pc is an health care organization with primary practice located at 807 Saint Andrew St , Rapid City SD 57701-4526. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Mary K. Roth D.D.S. Pc can be contacted via phone (605) 343-9352, or through Roth, Mary Kay via phone (605) 343-9352.

Contact Information

Primary practice address
807 Saint Andrew St Rapid City SD 57701-4526
Phone: (605) 343-9352
Fax: (605) 343-3115
Website:
Map and Directions
Authorized official contact:
Name: Roth, Mary Kay Doctor of Dental Surgery (DDS)
Phone: (605) 343-9352

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X M697 South Dakota

Profile Details

NPI number 1699976902
LBN Legal business name Mary K. Roth D.D.S. Pc
DBA Doing business as
Authorized official Roth, Mary Kay Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Jun 10th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699976902 NPPES
South Dakota MEDICAID 7805870
South Dakota Other BR1122302

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