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Active NPI 1144399189 Individual Practitioner Male Practitioner

Dr. Jeffrey R Roth , DMD

Dentist - General Practice • Hailey, ID

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Roth, DMD is a registered healthcare professional specializing in Dentist - General Practice in Hailey, ID. Practice services are available at 408 S MAIN ST STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

408 S Main St Ste 1

Hailey, ID 833338402

Telephone 2087887766
Fax 2087889920

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hailey, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Hailey, ID (781 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D3778

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
806932600 (ID)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active October 19, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2010

Registered at 408 S MAIN ST STE 1, HAILEY, ID 833338402 (Tel: 2087887766)

📍
Updated Business Mailing Address October 19, 2010

Registered at PO BOX 727, 408 SOUTH MAIN STREET, SUITE 1, HAILEY, ID 833330727 (Tel: 2087887766)

👤
Provider Name / Credentials Updated October 19, 2010

Recorded as JEFFREY ROTH, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2010

Dentist (License #D3778 in ID)

🟢
Initial NPI Registration & Enumeration November 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1144399189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2006
Last Update: October 19, 2010
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

Po Box 727, 408 South Main Street, Suite 1

Hailey, ID 833330727

Phone: 2087887766

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.