Tyheisha Krystal Roach, DDS

Dentist · Norfolk, VA

Individual Active NPI

NPI number 1053834556

Practice location

Naval Medical Center Portsmouth
620 John Paul Jones Circle
Norfolk, VA 23708
Phone
(757) 953-8591

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NPI record

NPI
1053834556
Entity type
Individual (Type 1)
Enumeration date
July 18, 2017
Last updated
March 17, 2022
Certified
March 17, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 0401415754 VA

Mailing address

Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708
Phone
(757) 953-8509

About Dr. Roach

Tyheisha Krystal Roach, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Norfolk, VA 23708. The NPI number 1053834556 was assigned on July 18, 2017 and the record was last updated on March 17, 2022.

Dr. Roach lists a license in the registry: #0401415754 (VA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tyheisha Krystal Roach, DDS?

The NPI number is 1053834556.

What is the phone number of Dr. Roach?

The phone number listed for the practice location is (757) 953-8591.

Where is Dr. Roach located?

Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Norfolk, VA 23708.

What is the taxonomy code for Dr. Roach?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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