Individual provider · Type 1 NPI

Larry Roth

Dentist · Chicago, IL

NPI number 1003211780 Active

Practice location

1637 W Wabansia Ave
Chicago, IL 60622-1443

Call (773) 486-1286 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019.016425 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1003211780

Larry Roth's National Provider Identifier is 1003211780, issued on Oct 24, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2014.