Dr. Samantha Roach
Dentist Endodontist
15015 Cimarron Ave
Rosemount
, Minnesota 55068-2771
Dr. Samantha Roach
Dentist Endodontist
15015 Cimarron Ave
Rosemount
, Minnesota 55068-2771
(612) 558-6033
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About
Features
Specialties
- Dentist
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Samantha Roach
- 4820 Bryant Ave S
- Minneapolis, MN
- Zip : 55419-5359
- Phone : (612) 558-6033
Second Address
- Dr. Samantha Roach
- 15015 Cimarron Ave
- Rosemount, MN
- Zip : 55068-2771
- Phone : (612) 558-6033
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Is Dr. Samantha Roach a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | R448 | MN |
| Y | 1223E0200X | Endodontist | D13028 | MN |
National Provider Identifier
| NPI | 1083932230 |
|---|---|
| Provider Name | Dr. Samantha Roach |
| First Address | Minneapolis, MN 55419-5359 |
| Second Address | Rosemount, MN 55068-2771 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2010 |
| Last Update Date | 02/12/2020 |
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.