1639558489 NPI number — DR THOMAS ROHRER ,DMD DR JOY LADELFA ROHRER DMD,P.A.

Table of content: DR. JAMES VINCENT RICHARDSON M.D. (NPI 1114975125)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639558489 NPI number — DR THOMAS ROHRER ,DMD DR JOY LADELFA ROHRER DMD,P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR THOMAS ROHRER ,DMD DR JOY LADELFA ROHRER DMD,P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639558489
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/27/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
715 GEORGE BUSH BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DELRAY BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33483-5717
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-265-1998
Provider Business Mailing Address Fax Number:
561-265-3494

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
715 GEORGE BUSH BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DELRAY BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33483-5717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-265-1998
Provider Business Practice Location Address Fax Number:
561-265-3494
Provider Enumeration Date:
05/27/2015

Additional Information

Authorized Official

Authorized Official Last Name:
ROHRER
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
Authorized Official Title or Position:
DOCTOR
Authorized Official Telephone Number:
561-265-1998

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 122300000X , with the licence number: 010382 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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