Individual
DR. KATHLEEN SCHROEDER ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
725 SW HIGGINS AVE, MISSOULA, MT 59803
(406) 728-2745
(406) 728-3953
Mailing address
725 SW HIGGINS AVE, MISSOULA, MT 59803
(406) 728-2745
(406) 728-3953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2025
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20254
BCBS
—
01
—
701432
UNITED CONCORDIA
—
Enumeration date
12/27/2006
Last updated
01/28/2025
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