Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 2565 | UT |
NPI | 1053480368 |
---|---|
Provider Name | Dr. Roger J Oldroyd |
First Address | Richfield, UT 84701 |
Second Address | Richfield, UT 84701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 08/07/2007 |