Individual provider · Type 1 NPI
Menachem D. Roth, D.M.D.MMSC.
Orthodontics and Dentofacial Orthopedics Dentistry · Brockton, MA
Practice location
348 N Pearl St, Suite 3
Brockton, MA 02301-1197
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 21543 (MA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1093988073
Menachem D. Roth, D.M.D.MMSC.'s National Provider Identifier is 1093988073, issued on Apr 10, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Brockton, MA. The record was last updated on Apr 16, 2008.