Daniel H Roth
Prosthodontist
1713 Vogt Dr
West Bend
, Wisconsin 53095-8516
Daniel H Roth
Prosthodontist
1713 Vogt Dr
West Bend
, Wisconsin 53095-8516
(262) 334-5249
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Daniel H Roth
- 509 Summit Dr
- West Bend, WI
- Zip : 53095-3853
- Phone : (262) 334-5249
Second Address
- Daniel H Roth
- 1713 Vogt Dr
- West Bend, WI
- Zip : 53095-8516
- Phone : (262) 334-3070
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 1343 | WI |
National Provider Identifier
| NPI | 1205863099 |
|---|---|
| Provider Name | Daniel H Roth |
| First Address | West Bend, WI 53095-3853 |
| Second Address | West Bend, WI 53095-8516 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.