Roth, Mesa
Roth, Mesa is an individual health care provider with primary practice located at 1006 A St , Greeley CO 80631-2021. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Roth, Mesa can be contacted via phone (970) 352-0048.Contact Information
Primary practice address
1006 A St
Greeley CO 80631-2021
Phone: (970) 352-0048
Fax: (970) 352-1120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 9286 | Colorado |
Profile Details
| NPI number | 1043411994 |
|---|---|
| LBN Legal business name | Roth, Mesa |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Jun 3rd, 2014 - about 10 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 | 1043411994 | NPPES |
| Colorado | MEDICAID | 11379766 |
Popular Providers
-
Casseday, Bryan S
1815 61St Ave Suite 103, Greeley CO 80634 -
Johnson, Jeremy Robert
1006 A St , Greeley CO 80631-2021 -
Ericson, Bryan Kent
3400 West 16Th Street Suite A, Greeley CO 80634-6862 -
Johnston, Samantha Madeline
1006 A St , Greeley CO 80631-2021 -
Ligon, Richard S
1825 56Th Ave Suite B, Greeley CO 80634-2908 -
Dhoon, Taher
1813 61St Ave Ste 210 , Greeley CO 80634 -
Bingham, Ryan Sean
1122 9Th St Ste 103 , Greeley CO 80631-6412 -
Alleman, Breckglyn Rea
3485 W 10Th St Ste C , Greeley CO 80634-5368