Individual provider · Type 1 NPI

Justin Lee Roth, DDS

Dentist · Colorado Springs, CO

NPI number 1104827930 Active

Practice location

5929 Constitution Ave
Colorado Springs, CO 80915-1211

Fax (719) 638-7532

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X3407 (CO)

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 1104827930

Justin Lee Roth, DDS's National Provider Identifier is 1104827930, issued on Aug 2, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 13, 2026.