DR. CHARLES J ROTH (NPI# 1982627410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982627410 |
| Entity Type | Individual |
| Full Name | DR. CHARLES J ROTH |
| Credential | D.D.S. |
| Practice Address |
412 Cernon St Ste C Vacaville CA 95688-4549 |
| Practice Telephone | 7074485339 |
| Practice Fax Number | 7074470956 |
| Mailing Telephone | 7074485339 |
| Mailing Fax Number | 7074470956 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DL 28481 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568682060 | Charles D Roth | Dentist | 5775 Main Street, Rock Hall, MD 21661 | 2007-04-26 |
| 1154557064 | Charles P Roth | Clinical Neuropsychologist | 2538 California St, San Francisco, CA 94115-2616 | 2009-06-05 |
| 1740305226 | Charles J. Roth | Physician Assistant | 33 Sewall St, Portland, ME 04102-2603 | 2007-03-21 |
| 1902956501 | Charles P Roth | Psychologist | 412 E King St, Malvern, PA 19355-3004 | 2007-01-12 |
| 1538252630 | Charles A Roth | Specialist | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2006-10-02 |
| 1679527956 | Charles B Roth | Physician Assistant | 42084 State Highway 28, Margaretville, NY 12455-2820 | 2006-05-20 |
| Street Address |
412 CERNON ST STE C |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95688-4549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184816589 | Charles J Roth Dds Inc | Clinic/Center | 412 Cernon St Ste C, Vacaville, CA 95688-4549 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1043842917 | Dr. Page Hudson Dental Corporation | Dentist | 1671 East Monte Vista Ave, Suite 200, Vacaville, CA 95688 | 2020-02-10 |
| 1356981534 | Demi Renae Holder | Behavior Technician | 6801 Leisure Town Rd Apt. 153, Vacaville, CA 95688 | 2020-01-15 |
| 1073089074 | Sukhdeep Kaur | Nurse Practitioner | 679 E Monte Vista Ave #140, Vacaville, CA 95688 | 2018-10-17 |
| 1114419553 | Sharlie Mccurry | Behavior Technician | 3333 Vaca Valley Pkwy, Suite 900, Vacaville, CA 95688 | 2018-06-01 |
| 1720577307 | Ana Lynch | Behavioral Analyst | 250 Grape St, Vacaville, CA 95688 | 2018-05-09 |
| 1508382011 | Esther's Empowerment Leadership Institute, LLC | Health Educator | 227 Fairoaks Drive, Vacaville, CA 95688 | 2017-08-16 |
| 1023534807 | Jean Allyson Garcia | Counselor | 1286 Callen Street, Vacaville, CA 95688 | 2017-08-14 |
| 1437692043 | Ahmed Abdi Ali | Pharmacist | 1 Quality Drive, Mob-b 1st Flr, 24 Hrs Pharmacy, Vacaville, CA 95688 | 2016-11-30 |
| 1275961807 | Laura Hitt | Dietitian, Registered | 107 Blackwood Ct, Vacaville, CA 95688 | 2013-10-16 |
| Find all providers in zip 95688 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093176380 | Usha Mantena Dental Corporation | Dentist | 671 Elmira Rd, Suite 130, Vacaville, CA 95687-4655 | 2016-03-14 |
| 1326431354 | Reeves, Dds and Lavalley, Dds, A Dental Corporation | Dentist | 196 Nut Tree Pkwy, Suite A, Vacaville, CA 95687-3237 | 2015-03-16 |
| 1306246988 | Amy Yonemitsu | Dentist | 110 Nut Tree Pkwy, Vacaville, CA 95687-3251 | 2014-09-02 |
| 1740689629 | Ishaan Talwar | Dentist | 3000 Alamo Dr Ste 202, Vacaville, CA 95687-6352 | 2014-08-18 |
| 1043589294 | Mantena and Ghazal Dental Corporation | Dentist | 110 Nut Tree Parkway, Vacaville, CA 95687 | 2011-12-16 |
| 1932488871 | Ismail Emrah Basaran | Dentist | 3000 Alamo Dr Ste 103, Vacaville, CA 95687-6345 | 2011-08-10 |
| 1861786154 | Sukhjinder Singh Dhillon | Dentist | 718 Ruby Dr, Vacaville, CA 95687-7712 | 2011-06-03 |
| 1194052084 | Emmett Todd Knipper | Dentist | 595 Buck Ave Ste K, Vacaville, CA 95688-3642 | 2009-11-12 |
| 1922267160 | Alan Marion Akers | Dentist | 2581 Nut Tree Rd Ste A, Vacaville, CA 95687-6915 | 2008-06-03 |
| 1578730305 | Tabije Dental Corp. | Dentist | 173 Butcher Rd, Vacaville, CA 95687-5693 | 2008-05-12 |
| Find all providers in VACAVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.