IndividualActive
Alex Roth, DDS
NPI 1114206513 · Dentist · Fairfield, IA
Provider details
- NPI number
- 1114206513
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 08857 (IA)
Specialties & taxonomies
Dental Providers
Practice location
205 N B St
205 N B St
Fairfield, IA 52556-2944
Phone: (641) 472-3044
Approximate (ZIP-level) locationGet directions
Mailing address
205 N B St
Fairfield, IA 52556-2944
Registry dates
- Enumerated
- 2011-08-16
- Last updated
- 2016-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.