Organization
ROTH & NORTON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ROTH (OFFICE MANAGER)
(641) 472-3044
Entity
Organization
Contact information
Practice address
205 N B ST, FAIRFIELD, IA 52556-2944
(641) 472-3044
Mailing address
205 N B ST, FAIRFIELD, IA 52556-2944
(641) 472-3044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0184630
—
IA
05
—
1114206513
—
IA
05
—
1881123750
—
IA
Enumeration date
01/09/2020
Last updated
01/09/2020
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