Roots, Richard J.
Roots, Richard J. is an individual health care provider with primary practice located at 140 E Lake St , Lake Mills WI 53551-1659. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Roots, Richard J. can be contacted via phone (920) 648-8254.Contact Information
Primary practice address
140 E Lake St
Lake Mills WI 53551-1659
Phone: (920) 648-8254
Fax: (920) 648-3655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5001379WI | Wisconsin |
Profile Details
| NPI number | 1295726925 |
|---|---|
| LBN Legal business name | Roots, Richard J. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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