LEON D. ROISMAN D.M.D. INC. NPI 1912046871

NPI Information

  • NPI: 1912046871
  • Provider Name: LEON D. ROISMAN, D.M.D., INC.
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Organization
  • :
  • Address: 310 S LAKE AVE
    LOWER LEVEL
    PASADENA, CA
    ZIP 91101
  • Phone: (626) 795-6855

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NPI Details

LEON D. ROISMAN, D.M.D., INC. is a prosthodontics dentist in Pasadena, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. LEON D. ROISMAN, D.M.D., INC. NPI is 1912046871. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

310 S LAKE AVE
LOWER LEVEL
PASADENA, CA
ZIP 91101-540
Phone: (626) 795-6855
Fax: (626) 432-4260

The provider's authorized official is Leon D. Roisman .
The authorized official title is Chief Executive Officer and has the following contact phone number (626) 432-4242.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodonticsNo
21223G0001XDentistGeneral PracticeNo
31223P0221XDentistPediatric DentistryNo
41223P0300XDentistPeriodonticsNo
51223S0112XDentistOral and Maxillofacial SurgeryNo
61223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
71223P0700XDentistProsthodonticsYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B19960-01OTHERCALIFORNIADENTICAL

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: 11/21/2025

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