Dr Edward Raymond Roth, DDS is a medicare enrolled "Dentist - General Practice" provider in Dallastown, Pennsylvania. His current practice location is
745 S Pleasant Ave, Dallastown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 244-4094.
Dr Edward Raymond Roth is licensed to practice in Pennsylvania (license number DS020117L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700968252.
Healthcare Provider's Profile
Full Name | Dr Edward Raymond Roth |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 745 S Pleasant Ave, Dallastown, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700968252
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6507168267
- Enrollment ID: I20160112002385
Medical Identifiers
Medical identifiers for Dr Edward Raymond Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700968252 | NPI | - | NPPES |
70028-1 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DS020117L (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edward Raymond Roth is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Edward Raymond Roth, DDS 745 S Pleasant Ave, Dallastown, PA 17313-9239 Ph: (717) 244-4094 | Dr Edward Raymond Roth, DDS 745 S Pleasant Ave, Dallastown, PA 17313-9239 Ph: (717) 244-4094 |
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