| Roth & Norton Family Dentistry | |
|
205 N B St Fairfield IA 52556-2944 | |
| (641) 472-3044 | |
| Not Available |
| Full Name | Roth & Norton Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 205 N B St, Fairfield, Iowa |
| Authorized Official Name and Position | Amy Roth (OFFICE MANAGER) |
| Authorized Official Contact | 6414723044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roth & Norton Family Dentistry 205 N B St Fairfield IA 52556-2944 Ph: (641) 472-3044 | Roth & Norton Family Dentistry 205 N B St Fairfield IA 52556-2944 Ph: (641) 472-3044 |
| NPI Number | 1528608395 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 01/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528608395 | NPI | - | NPPES |
| 1114206513 | Medicaid | IA | |
| 0184630 | Medicaid | IA | |
| 1881123750 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Stephen C. Vantasell, D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 W Adams Ave, Fairfield, IA 52556 Phone: 641-472-3158 Fax: 641-469-5111 |