Frederick A Roth, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS027087-L Issued in PA

Practice address

Pine Hill Professional Building
310 State Route 288 Suite 3
Ellwood City, PA 16117

Phone

(724) 758-2660

Fax

(724) 758-1060

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841233079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 CRABAPPLE LN",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171531",
            "telephone_number": "724-758-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PINE HILL PROFESSIONAL BUILDING",
            "address_2": "310 STATE ROUTE 288 SUITE 3",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "16117",
            "telephone_number": "724-758-2660",
            "fax_number": "724-758-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "FREDERICK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027087-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resilient Minds
• Christine L Riley, PSYD, LCSW
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• Emily Kay Romeo, NCC, LPC
• Carly Rosendale, DPT
• Anthony Joseph Sacerino, DPT
• Alexa Marie Santori, M.S.
• Christie S Savor, PT
• Lisa Scacchitti
• Heidi B Schanno, OTR/L

• General Practice Dentistry in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.