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STEVEN ROHOLT DDS NPI 1174512297


NPI Information

NPI: 1174512297
Provider Name: STEVEN ROHOLT, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
10151 MONTGOMERY BLVD NE
SUITE 2-D
ALBUQUERQUE, NM
ZIP 87111
Phone: (505) 292-3400
Get Directions

Steven Roholt, DDS is an oral and maxillofacial surgery dentist in Albuquerque, NM. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Steven Roholt, DDS NPI is 1174512297. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10151 MONTGOMERY BLVD NE
SUITE 2-D
ALBUQUERQUE, NM
ZIP 87111-670
Phone: (505) 292-3400
Fax: (505) 292-7124

The enumeration date for this NPI number is 10/20/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery1307NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12203502MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICO
283691MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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