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DR. NEAL ALLEN ROTH DDS NPI 1336264043


NPI Information

NPI: 1336264043
Provider Name: DR. NEAL ALLEN ROTH, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
41 ADMIRAL CALLAGHAN LN
SUITE #A
VALLEJO, CA
ZIP 94591
Phone: (707) 552-5644
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DR. Neal Allen Roth, DDS is an oral and maxillofacial surgery dentist in Vallejo, CA. 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. DR. Neal Allen Roth, DDS NPI is 1336264043. 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:

41 ADMIRAL CALLAGHAN LN
SUITE #A
VALLEJO, CA
ZIP 94591-000
Phone: (707) 552-5644
Fax: (707) 552-6936

The enumeration date for this NPI number is 3/20/2007 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 Surgery29178CALIFORNIAYes

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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