Roth, Lesley Gail

Roth, Lesley Gail is an individual health care provider with primary practice located at 220 Main St , Salem NH 03079-3148. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Roth, Lesley Gail can be contacted via phone (603) 898-1450.

Contact Information

Primary practice address
220 Main St Salem NH 03079-3148
Fax: (603) 893-8751
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2278 New Hampshire

Profile Details

NPI number 1558589739
LBN Legal business name Roth, Lesley Gail
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558589739 NPPES
New Hampshire MEDICAID 30304448

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