Larry Roth, - Dentist in Chicago, IL

Larry Roth, is a Dentist based in Chicago, Illinois. Larry Roth is licensed to practice in Illinois (license number 019.016425) and his current practice location is 1637 W Wabansia Ave, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at (773) 486-1286.

NPI number for Larry Roth is 1003211780 and his current mailing address is 1637 W Wabansia Ave, Chicago, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003211780.

Contact Information

Larry Roth,
1637 W Wabansia Ave,
Chicago, IL 60622-1443
(773) 486-1286
Not Available



Healthcare Provider's Profile

Full NameLarry Roth
GenderMale
SpecialityDentist
Location1637 W Wabansia Ave, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003211780
  • Provider Enumeration Date: 10/24/2014
  • Last Update Date: 10/24/2014

Medical Identifiers

Medical identifiers for Larry Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003211780NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 019.016425 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry Roth is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Larry Roth,
1637 W Wabansia Ave,
Chicago, IL 60622-1443

Ph: (773) 486-1286
Larry Roth,
1637 W Wabansia Ave,
Chicago, IL 60622-1443

Ph: (773) 486-1286

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Dentist in Chicago, IL

Dr. Philip E Fidel, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3236 W Fullerton Ave, Chicago, IL 60647
Phone: 773-276-0300    Fax: 773-252-5994
Bilus D Poles, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1945 W Wilson Ave, Chicago, IL 60640
Phone: 773-275-8855    
Theresa Westfallen,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1738 W North Ave, Chicago, IL 60622
Phone: 773-276-5566    Fax: 773-276-8780
Dr. Justine S Gasior, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6820 S Pulaski Rd, Chicago, IL 60629
Phone: 773-581-4627    Fax: 773-581-3155
Dr. William Kwok Kuen Wan, M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2262 S. Wentworth Ave, 2nd Floor, Chicago, IL 60616
Phone: 312-791-1013    Fax: 312-791-1444
Gandy S Garcia, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3915 W 26th St, Chicago, IL 60623
Phone: 773-522-2929    Fax: 773-522-2930
Dr. Sodabeh Etminan, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 7131 S Jeffery Blvd Ste A, Chicago, IL 60649
Phone: 773-256-0526    

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