Roth, John P
Roth, John P is an sole proprietor health care provider with primary practice located at 14465 Metcalf Ave , Overland Park KS 66223-2990. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Roth, John P can be contacted via phone (913) 553-2492.Contact Information
Primary practice address
14465 Metcalf Ave
Overland Park KS 66223-2990
Phone: (913) 553-2492
Fax: (913) 553-2493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 60313 | Kansas |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 60313 | Kansas |
Profile Details
| NPI number | 1881886943 |
|---|---|
| LBN Legal business name | Roth, John P |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Jan 25th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881886943 | NPPES |
| Kansas | MEDICAID | 201141800A |
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