Roger L Albertson DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M707 Issued in SD

Legal business name

ROGER L ALBERTSON DDS PC

Practice address

324 4TH St NE
Watertown, SD 57201

Phone

(605) 886-8866

Fax

(605) 886-8891

NPI assigned

Mar 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roger L Albertson, DDS

Title

President

Phone

(605) 886-8866

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083739783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 4TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "57201",
            "telephone_number": "605-886-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 4TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "57201",
            "telephone_number": "605-886-8866",
            "fax_number": "605-886-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER L ALBERTSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBERTSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-886-8866",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805800",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Daniel Roark, CRNA
• Maxwell Alan Roberts
• Teresa Jean Robin
• Stefanie Robinson
• Stefanie E Roby, PA-C
• Rachell M Rogge
• Lindsay K Rogness, LCSW-PIP
• Christine Ronke, BS
• Root Function Wellness PLLC
• Heather Anne Rorvick, MS

• General Practice Dentistry in Watertown, SD
• Providers in Watertown, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.