Roth & Mann II, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROTH & MANN II, DDS, PA

Doing business as

Benson Family Dentistry

Practice address

303 S. Walton Ave
Raleigh, NC 27504-9396

Phone

(919) 894-1612

Fax

(919) 894-2556

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Megan Pridgen

Title

Business Manager

Phone

(919) 696-6394

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Benson Family Dentistry Doing business as

Tax ID family

Benson Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kyle Roth and Associates VI, DDS, PA

  • General Practice Dentistry
  • Goldsboro, NC
  • NPI 1740371616
  NPD tax ID

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1427146000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S. WALTON AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "275049396",
            "telephone_number": "919-894-1612",
            "fax_number": "919-894-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S. WALTON AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "275049396",
            "telephone_number": "919-894-1612",
            "fax_number": "919-894-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH & MANN II, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "919-696-6394"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902667",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benson Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Rosselot, PHARMD
• Anthony Michael Rossi, D.O.
• Stephanie Salcedo Rossitch, PHD
• Elizabeth Rotchford
• Roten Signing Service
• Roth & Powell III DDS PA
• Roth & Pressley DDS, PA
• Roth Powell & Mann II DDS PA
• Kyle John Roth, DDS
• Roth, Mann & Powell

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.