Individual
JEFFREY R ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
408 S MAIN ST STE 1, HAILEY, ID 83333-8402
(208) 788-7766
(208) 788-9920
Mailing address
PO BOX 727, 408 SOUTH MAIN STREET, SUITE 1, HAILEY, ID 83333-0727
(208) 788-7766
(208) 788-9920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3778
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806932600
—
ID
Enumeration date
11/06/2006
Last updated
10/19/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us