# LEON D. ROISMAN, D.M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Plus - A Dental Group of Leon D. Roisman, D.M.D., Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912046871
- **Authorized official:** DR. LEON D. ROISMAN D.M.D. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (626) 432-4242

## Contact information

- **Practice address:** 310 S LAKE AVE, LOWER LEVEL, PASADENA, CA 91101-3540
- **Practice address phone:** (626) 795-6855
- **Practice address fax:** (626) 432-4260
- **Mailing address:** 310 S LAKE AVE, LOWER LEVEL, PASADENA, CA 91101-3540
- **Mailing address phone:** (626) 795-6855
- **Mailing address fax:** (626) 432-4260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223P0700X | Prosthodontics | — | — | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | B19960-01 | DENTICAL | CA |