Individual provider · Type 1 NPI

Steven Roholt, DDS

Oral and Maxillofacial Surgery (Dentist) · Albuquerque, NM

NPI number 1174512297 Active

Practice location

10151 Montgomery Blvd NE, Suite 2-D
Albuquerque, NM 87111-3670

Call (505) 292-3400 Map

Fax (505) 292-7124

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X1307 (NM)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1174512297

Steven Roholt, DDS's National Provider Identifier is 1174512297, issued on Oct 20, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.