Mark David Roth, D.D.S.

Dentist · Davie, FL

Individual Active NPI

NPI number 1770641284

Practice location

3200 S University Dr
Davie, FL 33328-2018
Phone
(954) 472-0418

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NPI record

NPI
1770641284
Entity type
Individual (Type 1)
Enumeration date
December 5, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 6440 FL

Mailing address

840 Mockingbird Ln
Plantation, FL 33324-3406
Phone
(954) 472-0418

About Dr. Roth

Mark David Roth, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3200 S University Dr, Davie, FL 33328-2018. The NPI number 1770641284 was assigned on December 5, 2006 and the record was last updated on July 8, 2007.

Dr. Roth lists a license in the registry: #6440 (FL) 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 Mark David Roth, D.D.S.?

The NPI number is 1770641284.

What is the phone number of Dr. Roth?

The phone number listed for the practice location is (954) 472-0418.

Where is Dr. Roth located?

3200 S University Dr, Davie, FL 33328-2018.

What is the taxonomy code for Dr. Roth?

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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