Jeffrey R Roth is a Hailey, Idaho based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jeffrey R Roth is D3778 for General Practice Dentistry in Idaho. His current practice location is 408 S Main St Ste 1, Hailey. Patients can reach him at 208-788-7766.
Jeffrey R Roth is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jeffrey R Roth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jeffrey R Roth
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
408 S Main St Ste 1, Hailey, Idaho, 83333-8402
Phone:
208-788-7766
Fax:
208-788-9920
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1144399189
NPI Enumeration Date:
06 Nov, 2006
NPI Last Update On:
19 Oct, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffrey R Roth are as mentioned below.
License Number
Specialization
State
Status
D3778
General Practice Dentistry
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeffrey R Roth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
806932600
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 727, 408 South Main Street, Suite 1 Hailey, Idaho
Zip:
83333-0727
Phone Number:
208-788-7766
Fax Number:
208-788-9920
Patients can reach Jeffrey R Roth at 408 S Main St Ste 1, Hailey, Idaho or can call to book an appointment on 208-788-7766. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.