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

NPI Information

NPI: 1912046871
Provider Name: LEON D. ROISMAN, D.M.D., INC.

Doing Business As: DENTAL PLUS - A DENTAL GROUP OF LEON D. ROISMAN, D.M.D., INC.

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
310 S LAKE AVE
LOWER LEVEL
PASADENA, CA
ZIP 91101
Phone: (626) 795-6855
Get Directions

LEON D. ROISMAN, D.M.D., INC. is an endodontics dentist in Pasadena, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. 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 Is Doing Business As Dental Plus - A Dental Group Of Leon D. Roisman, D.m.d., Inc..

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 8/22/2020.

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	Primary
1	1223E0200X	Dentist	Endodontics	Yes
2	1223G0001X	Dentist	General Practice	X
3	1223P0221X	Dentist	Pediatric Dentistry	X
4	1223P0300X	Dentist	Periodontics	X
5	1223P0700X	Dentist	Prosthodontics	X
6	1223S0112X	Dentist	Oral and Maxillofacial Surgery	X
7	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	X

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
1	B19960-01	OTHER	CALIFORNIA	DENTICAL

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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