| Jeffrey R Roth, DMD | |
|
408 S Main St Ste 1, Hailey, ID 83333-8402 | |
| (208) 788-7766 | |
| (208) 788-9920 |
| Full Name | Jeffrey R Roth |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 408 S Main St Ste 1, Hailey, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144399189 | NPI | - | NPPES |
| 806932600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3778 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey R Roth, DMD Po Box 727, 408 South Main Street, Suite 1, Hailey, ID 83333-0727 Ph: (208) 788-7766 | Jeffrey R Roth, DMD 408 S Main St Ste 1, Hailey, ID 83333-8402 Ph: (208) 788-7766 |
Dr. Luke Arthur Whalen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 116 W Bullion St, Hailey, ID 83333 Phone: 208-788-4507 Fax: 208-788-6445 | |
Dr. Ronald Edward Fairfax, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14 E. Elm St., Hailey, ID 83333 Phone: 208-788-0048 Fax: 208-788-8575 | |
Dr. Cynthia Kay Unger, DDS Dentist Medicare: Medicare Enrolled Practice Location: 219 S River, Hailey, ID 83333 Phone: 208-788-4124 Fax: 208-788-0776 | |
Dr. Matthew Haas, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 503 N Main St, Hailey, ID 83333 Phone: 208-788-4900 | |
Dr. Chase Alan Benson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 14 E Elm St, Hailey, ID 83333 Phone: 208-788-0048 |