Roth, Justin Lee
Roth, Justin Lee is an individual health care provider with primary practice located at 5929 Constitution Ave , Colorado Springs CO 80915-1211. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Roth, Justin Lee can be contacted via phone (719) 638-1986.Contact Information
Primary practice address
5929 Constitution Ave
Colorado Springs CO 80915-1211
Phone: (719) 638-1986
Fax: (719) 638-7532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3407 | Colorado |
Profile Details
| NPI number | 1104827930 |
|---|---|
| LBN Legal business name | Roth, Justin Lee |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 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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