Gary D. Roth, D.D.S.

General Practice Dentistry · Fairfield, IA

Individual Active NPI

NPI number 1669555611

Practice location

205 N B St
Fairfield, IA 52556-2944
Phone
(641) 472-3044

Open in Google Maps

NPI record

NPI
1669555611
Entity type
Individual (Type 1)
Enumeration date
October 23, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X IA06694 IA

About Dr. Roth

Gary D. Roth, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 205 N B St, Fairfield, IA 52556-2944. The NPI number 1669555611 was assigned on October 23, 2006 and the record was last updated on July 8, 2007.

Dr. Roth lists a license in the registry: #IA06694 (IA) 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 Gary D. Roth, D.D.S.?

The NPI number is 1669555611.

What is the phone number of Dr. Roth?

The phone number listed for the practice location is (641) 472-3044.

Where is Dr. Roth located?

205 N B St, Fairfield, IA 52556-2944.

What is the taxonomy code for Dr. Roth?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

Other General Practice Dentistry providers in Fairfield

All General Practice Dentistry providers in Fairfield, IA →