Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043411994 Individual Practitioner Female Practitioner

Dr. Mesa Roth , DDS

Dentist • Greeley, CO

Professional Overview & Biography Verified Profile Summary

Dr. Mesa Roth, DDS is a registered healthcare professional specializing in Dentist in Greeley, CO. Practice services are available at 1006 A ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1006 A St

Greeley, CO 806312021

Telephone 9703520048
Fax 9703521120
Associated Practice Facility / Clinic
🏢 Sunrise Community Health Facility NPI 1699073395

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Greeley, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.2 Yrs
Regional Practice Density
46 Specialists

Practicing in Greeley, CO (2100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CO 9286

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
11379766 (CO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Jack Cessna , RDH, BS

Dental Hygienist

NPI 1003365404

Registered Dental Hygienist, Bachelor of Science

Dr. Charmaine Doan , DMD

Dentist - General Practice

NPI 1083330237

Doctor of Dental Medicine

NPI 1366847154

Doctor of Dental Surgery

Sonya Chavez , RDH

Dental Hygienist

NPI 1386918555

Registered Dental Hygienist

NPI 1437238490

Doctor of Dental Surgery

NPI 1437678521

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2014

Registered at 1006 A ST, GREELEY, CO 806312021 (Tel: 9703520048)

📍
Updated Business Mailing Address June 03, 2014

Registered at 2930 11TH AVE, EVANS, CO 806201011 (Tel: 9703539403)

👤
Provider Name / Credentials Updated June 03, 2014

Recorded as MESA ROTH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2014

Dentist (License #9286 in CO)

🟢
Initial NPI Registration & Enumeration May 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043411994
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2007
Last Update: June 03, 2014
Sole Proprietor: No

Mailing Address

2930 11th Ave

Evans, CO 806201011

Phone: 9703539403

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.