Matthew Christian Roach, DMD

General Practice Dentistry · Goodfellow Afb, TX

Individual Active NPI

NPI number 1518677277

Practice location

271 Fort Richardson Ave
Goodfellow Afb, TX 76908-4901
Phone
(325) 654-3050

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NPI record

NPI
1518677277
Entity type
Individual (Type 1)
Enumeration date
December 2, 2022
Last updated
July 30, 2024
Certified
July 30, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 10277 SC
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

1 Somerleaf Way
Simpsonville, SC 29681-5153

Other practice locations (1)

  • 92 Nealy Blvd, Hampton, VA 23665-2022 · (757) 225-8278

About Dr. Roach

Matthew Christian Roach, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901. The NPI number 1518677277 was assigned on December 2, 2022 and the record was last updated on July 30, 2024.

Dr. Roach lists a license in the registry: #10277 (SC) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matthew Christian Roach, DMD?

The NPI number is 1518677277.

What is the phone number of Dr. Roach?

The phone number listed for the practice location is (325) 654-3050.

Where is Dr. Roach located?

271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901.

What is the taxonomy code for Dr. Roach?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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